PAUL M. WARNER, Chief Magistrate Judge.
Pursuant to 28 U.S.C. § 636(c), the parties consented to have Chief United States Magistrate Judge Paul M. Warner conduct all proceedings in this case, including trial, entry of final judgment, and all post-judgment proceedings.
On December 2, 2014, Plaintiff filed an application for Disability Insurance Benefits, alleging disability beginning on October 25, 2013.
Plaintiff was 47 years old when he claimed disability based on spinal damage, posttraumatic stress disorder ("PTSD"), depression, muscle contractions, degenerative disc disease, a right knee meniscal tear with residual instability, peripheral neuropathy, ankle instability, limited flexion of the right knee, tendonitis, rectal dysfunction, and neck fusion.
At step two, the ALJ recognized that Plaintiff has the severe impairments of degenerative disc disease of the cervical spine, obesity, depression, and PTSD.
At step three, the ALJ concluded that Plaintiff did not meet a listing.
Therefore, at Step 4, the ALJ concluded that Plaintiff had the RFC to perform his past relevant work as a security guard.
On May 11, 2016, Plaintiff filed his complaint in this case.
The court "review[s] the Commissioner's decision to determine whether the factual findings are supported by substantial evidence in the record and whether the correct legal standards were applied." Lax v. Astrue, 489 F.3d 1080, 1084 (10th Cir. 2007) (quoting Hackett v. Barnhart, 395 F.3d 1168, 1172 (10th Cir. 2005)). The Commissioner's findings, "if supported by substantial evidence, shall be conclusive." 42 U.S.C. § 405(g). "Substantial evidence is such relevant evidence as a reasonable mind might accept as adequate to support a conclusion. It requires more than a scintilla, but less than a preponderance." Lax, 489 F.3d at 1084 (quotations and citation omitted). In reviewing the ALJ's decision, the court cannot "reweigh the evidence" or "substitute" its judgment for that of the ALJ. Madrid v. Barnhart, 447 F.3d 788, 790 (10th Cir. 2006) (quotations and citations omitted). "[F]ailure to apply the correct legal standard or to provide this court with a sufficient basis to determine that appropriate legal principles have been followed [are] grounds for reversal." Jensen v. Barnhart, 436 F.3d 1163, 1165 (10th Cir. 2005) (quotations and citation omitted).
A five step evaluation process has been established for determining whether a claimant is disabled. See 20 C.F.R. § 416.920(a)(4)(i)-(v); see also Williams v. Bowen, 844 F.2d 748, 750-51 (10th Cir. 1988) (discussing the five step process). If a determination can be made at any one of the steps that a claimant is or is not disabled, the subsequent steps need not be analyzed. See 20 C.F.R. § 416.920(a)(4). The five step sequential disability determination is as follows:
4. If the claimant's impairment(s) does not prevent her from doing her past relevant work, she is not disabled.
Martin v. Barnhart, 470 F.Supp.2d 1324, 1326-27 (D. Utah 2006); see 20 C.F.R. § 416.920(a)(4)(i)-(v); Williams, 844 F.2d at 750-51. The claimant bears the burden of proof beginning with step one and ending with step four. See Williams, 844 F.2d at 750-51; Henrie v. U.S. Dep't of Health & Human Servs., 13 F.3d 359, 360 (10th Cir. 1993). At step five, the burden of proof shifts to the Commissioner to establish "whether the claimant has the residual functional capacity . . . to perform other work in the national economy in view of his [or her] age, education, and work experience." Williams, 844 F.2d at 751 (quotations and citations omitted); see 20 C.F.R. § 416.920(a)(4)(v).
On appeal, Plaintiff contends that the Commissioner's decision should be reversed because the ALJ erred in three ways. First, Plaintiff faults the ALJ for failing to properly recognize Plaintiff's carpal tunnel syndrome and migraine headaches at step two.
The court has carefully reviewed the administrative record and finds that Plaintiff has failed to provide the court grounds on which to overturn the decision of the Commissioner. The court finds that the ALJ applied the correct legal standards and the ALJ's decision is supported by substantial evidence. Specifically, any error committed by the ALJ at step two was harmless. Furthermore, the ALJ's RFC determination is supported by substantial evidence. Additionally, Plaintiff failed to offer the Appeals Council any new and material evidence that would upset the ALJ's non-disability finding.
Plaintiff argues that the ALJ erred by not considering his diagnosis of carpal tunnel syndrome and complaints of migraine headaches at step two.
At step two, the ALJ rejected Plaintiff's diagnosis of carpal tunnel syndrome and migraine headaches as severe impairments.
Plaintiff alleges that the ALJ's RFC assessment is flawed in four ways. First, Plaintiff argues that the ALJ erred in failing to consider the symptoms associated with his carpel tunnel syndrome and migraines in determining his RFC.
RFC is "the most [a claimant] can do despite [his or her] limitations." 20 C.F.R. § 404.1545. When assessing a claimant's RFC, "the ALJ must consider the combined effect of all of the claimant's medically determinable impairments, whether severe or not severe." Wells v. Colvin, 727 F.3d 1061, 1065 (10th Cir. 2013) (emphasis omitted) (citing 20 C.F.R. §§ 404.1545(a)(2), 416.945(a)(2)). RFC is based on all the evidence in the record, not just medical opinions, lay witness statements, or a claimant's testimony. See 20 C.F.R. § 404.1545(a)(3). With these standards in mind, the court finds that the ALJ's RFC determination is supported by substantial evidence.
Plaintiff claims that the ALJ erred by giving little weight to Plaintiff's allegations that he suffered from carpel tunnel syndrome and migraine headaches. Contrary to Plaintiff's assertions, the ALJ acknowledged that Plaintiff complained of "ongoing numbness in his bilateral upper extremities and tingling in his lower extremities."
Plaintiff faults the ALJ for giving little weight to the VA's decision to award Plaintiff a 100% disability rating. "Although another agency's determination of disability is not binding on the Social Security Administration, it is evidence that the ALJ must consider and explain why [he or she] did not find it persuasive." Grogan v. Barnhart, 399 F.3d 1257, 1262 (10th Cir. 2005) (citations omitted). The VA's approach to disability determinations is fundamentally different from the Social Security Act's disability determination framework. For example, the Social Security Act's disability determination requires the Commissioner to focus on the individual's "inability to engage in any substantial gainful activity." 42 U.S.C. § 423(d)(1)(A). Conversely, "VA disability ratings are based on how an impairment would affect the average person." Walters v. Colvin, 604 F. App'x 643, 648 (10th Cir. 2015) (unpublished) (citing 38 C.F.R. § 4.1). Therefore, the Tenth Circuit has held that an ALJ need only "acknowledge" a VA disability rating and provide a reasoned basis for giving the VA's disability rating little weight. See McFerran v. Astrue, 437 F. App'x 634, 638 (10th Cir. 2011) (unpublished); Breneiser v. Astrue, 231 F. App'x 840, 845 (10th Cir. 2007) (unpublished).
Here, the ALJ gave the VA's disability findings only "partial weight" because the VA's "decision was not included in the claimant's file and there was no evidence of record regarding most of the conditions listed including knee disorder and migraines."
Next, Plaintiff faults the ALJ for giving little or only partial weight to Plaintiff's treating source opinion evidence. When evaluating the available medical evidence, the ALJ must give "controlling weight" to the treating physician's opinion but only if that opinion "is well-supported. . . and is not inconsistent with the other substantial evidence." 20 C.F.R. § 404.1527(c)(2). "Treating source medical opinions are . . . entitled to deference and must be weighed using all of the factors provided in 20 C.F.R. § 404.1527." Watkins v. Barnhart, 350 F.3d 1297, 1300 (10th Cir. 2003) (quoting SSR 96-2p). Those factors are:
Id. (quoting Drapeau v. Massanari, 255 F.3d 1211, 1213 (10th Cir. 2001)). The ALJ is not required to discuss every factor. See Oldham v. Astrue, 509 F.3d 1254, 1257 (10th Cir. 2007). However, when an ALJ "rejects a treating physician's opinion, he [or she] must articulate `specific, legitimate reasons for his [or her] decision.'" Hamlin v. Barnhart, 365 F.3d 1208, 1223 (10th Cir. 2004) (quoting Drapeau, 255 F.3d at 1213).
Here, the court finds that the ALJ articulated specific, legitimate reasons for giving little weight to Plaintiff's treating source opinions. For example, Dr. Dennis Winters assessed Plaintiff with a 62% disability rating. However, in completing his physical examination, Dr. Winters concluded that Plaintiff had "normal strength in the bilateral upper extremities given resistance testing, normal gait, and normal stability throughout his body."
Similarly, the ALJ gave little weight to the opinion of Virginia Mol, a certified family nurse practitioner, because Ms. Mol's opinion was not supported by objective evidence and was inconsistent with Plaintiff's testimony. Ms. Mol opined that Plaintiff could only sit, stand, or walk less than two hours each during a word day and could only lift up to 10 pounds.
Finally, the ALJ gave little weight to the medical opinion of Brian Cunningham, a psychiatric-mental health nurse practitioner, because Mr. Cunningham's opinion was inconsistent with Plaintiff's testimony and Mr. Cunningham's treatment notes.
Plaintiff argues he is entitled to remand because the ALJ improperly gave little credence to Plaintiff's subjective complaints of chronic pain and debilitating illness. On review of a decision by the Commissioner, the court defers to the "ALJ as trier of fact" because he or she is "the individual optimally positioned to observe and assess witness credibility." Casias v. Sec'y of Health & Human Servs., 933 F.2d 799, 801 (10th Cir. 1991) (citation omitted). The court will uphold the ALJ's credibility determinations as long as they are supported by substantial evidence. See Carson v. Barnhart, 140 F. App'x 29, 34 (10th Cir. 2005) (unpublished).
With these standards in mind, the court finds no error in the ALJ's decision to discount Plaintiff's subjective complaints of chronic pain and debilitating illness. The ALJ rejected Plaintiff's subjective complaints primarily because Plaintiff's allegations were inconsistent with his activities of daily living. For example, Plaintiff told Mr. Cunningham he performed yard maintenance for his in-laws.
Plaintiff claims that new evidence submitted to the Appeals Council shows that he suffers from bilateral knee impairments and, therefore, is disabled. In support, Plaintiff cites: (1) an MRI conducted in 2007; (2) the limiting effects of Plaintiff's obesity and pronating feet; and (3) the VA's finding that Plaintiff is 20% disabled based on bilateral knee impairments.
"In evaluating the Commissioner's denial of benefits under the substantial evidence standard, the district court must consider qualifying new evidence submitted to the Appeals Council." Martinez v. Astrue, 389 F. App'x 866, 869 (10th Cir. 2010) (unpublished) (citation omitted). In the context of new evidence, the district court's task is to determine whether the "qualifying new evidence upsets" the ALJ's non-disability determination. Id.; 20 C.F.R. § 404.970(b).
In this case, none of the new evidence cited by Plaintiff upsets the ALJ's non-disability finding. The 2007 MRI and the limiting effects of Plaintiff's obesity and pronating feet are not new evidence that would upset the decision of the Commissioner.
Similarly, as noted above, the ALJ is not required to give the VA's disability determination controlling weight. Moreover, even if the ALJ were to give controlling weight to the VA's decision, the VA concluded that Plaintiff's knee condition had "improved."
Based on the foregoing, the Commissioner's decision in this case is