JACKSON L. KISER, Senior District Judge.
Before me is the Report and Recommendation ("R&R") of the United States Magistrate Judge recommending that I grant the Commissioner's Motion for Summary Judgment, deny Plaintiff's Motion for Summary Judgment, and affirm the final decision of the Commissioner. The R&R was filed on December 1, 2014, and Plaintiff David W. Lowery ("Plaintiff") filed objections on December 15. The Commissioner did not respond in any fashion, and the matter is now ripe for review.
On July 29, 2011, Plaintiff filed an application for a period of disability insurance benefits pursuant to Title II of the Social Security Act ("the Act"), and supplemental security income pursuant to Title XVI.
On November 20, 2012, Plaintiff appeared with his attorney before Administrative Law Judge Brian Kilbane ("the ALJ"). (R. 14.) Plaintiff and vocational expert Barry Hensley both testified at the hearing. (R. 37-56.) In a written decision dated December 21, 2012, the ALJ determined that Plaintiff was not disabled within the meaning of the Act. (
After consideration of the entire Record, the ALJ concluded that Plaintiff has the residual functional capacity ("RFC") to perform a limited range of light work. (R. 20). Specifically, the ALJ determined that Plaintiff "can only occasionally lift and carry 20 pounds, can frequently lift and carry 10 pounds, can stand and walk with normal breaks for a total of 6 hours out of an 8 hour workday, can sit with normal breaks for a total of more than 6 hours on a sustained basis out of an 8 hour workday, can perform occasional climbing of ramps and stairs and ladders/ropes/scaffolds and can perform frequent stooping, kneeling, crouching and crawling." (
On October 7, 2013, Plaintiff filed suit in this Court to challenge the final decision of the Commissioner. (Compl. [ECF No. 3].) Pursuant to 28 U.S.C. § 636(b)(1)(B), I referred the case to the United States Magistrate Judge for consideration. Plaintiff and the Commissioner filed cross-motions for summary judgment. (Pl.'s Mot. Summ. J., March 28, 2014 [ECF No. 12]; Def.'s Mot. Summ. J., April 30, 2014 [ECF No. 15].) On December 1, 2014, Judge Hoppe filed his Report and Recommendation, recommending that I affirm the final decision of the Commissioner. (R&R, Dec, 1, 2014 [ECF No.17].) On December 15, 2014, Plaintiff filed an objection to the R&R. (Pl.'s Obj., Dec, 15, 2014 [ECF No. 18] [hereinafter "Pl.'s Obj."].) The Commissioner did not respond, and the matter is now ripe for review.
Congress has limited the judicial review I may exercise over decisions of the Social Security Commissioner. I am required to uphold the decision where: (1) the Commissioner's factual findings are supported by substantial evidence; and (2) the Commissioner applied the proper legal standard.
The Commissioner is charged with evaluating the medical evidence and assessing symptoms, signs, and findings to determine the functional capacity of the claimant. 20 C.F.R. §§ 404.1527-404.1545 (2014);
Plaintiff's only objection to Magistrate Judge Hoppe's R&R is that "[t]he ALJ's reliance on the consulting, non-examining DDS doctor's opinion is irrational and not supported by evidence in the record . . . ." (Pl.'s Obj. pg. 4.) In essence, Plaintiff objects because the ALJ relied on—and sided with—the opinions of the admittedly consultative examiners over his treating physicians.
Generally speaking, treating sources are given controlling weight "since these sources are likely to be the medical professionals most able to provide a detailed, longitudinal picture of [a claimant's] medical impairment(s) and may bring a unique perspective to the medical evidence that cannot be obtained from the objective medical findings alone or from reports of individual examinations . . . ." 20 C.F.R. § 416.927(c)(2) (2014). While a treating physician's opinion is typically afforded controlling weight, that rule is not sacrosanct. In evaluating medical opinions, an ALJ should examine "(1) whether the physician examined the applicant, (2) the treatment relationship between the physician and the applicant, (3) the supportability of the physician's opinion, (4) the consistency of the opinion with the record, and (5) whether the physician is a specialist."
Here, Plaintiff's treating physicians opined that Plaintiff had significant limitations. Both Dr. Iskander and Dr. Sloop opined that Plaintiff would be unable to maintain full-time employment because of his physical (and, in the case of Dr. Sloop, mental) conditions. (
The ALJ rejected Dr. Iskander's opinion because his conclusory statement regarding Plaintiff's functioning was inconsistent with Dr. Iskander's own diagnoses. Specifically, although Dr. Iskander stated that Plaintiff "has marked limitation of physical activity, as demonstrated by fatigue, palpitation, dyspnea, or angina discomfort on ordinary physical activity" (R. 938), the ALJ concluded that opinion was inconsistent with his finding that Plaintiff's coronary artery disease "falls within New York Heart Association Class I-II, which signifies that the claimant has no limitation in ordinary physical activity or only mild symptoms and slight limitation during normal activity" (R. 24). Dr. Iskander himself recognized this inconsistency, noting that Plaintiff's "congestive heart failure is not his limiting factor from the cardiovascular standpoint." (R. 942.) Rather, he concluded that Plaintiff's shortness of breath "is mostly related to the patient['s] continuous smoking habits as well as possible chronic obstructive pulmonary disease." (
Here, it is apparent that Dr. Iskander's opinions were not based on his own diagnoses, but rather on an assumed diagnosis under the presumed care of another physician. When coupled with the fact Dr. Iskander's opinion was, in fact, two years old at the time, and that more recent physical examinations showed "normal findings" (R. 24-25;
With regard to Dr. Sloop's opinion, the regulations state that, "[t]he more a medical source presents relevant evidence to support an opinion, particularly medical signs and laboratory findings, the more weight [the ALJ] will give that opinion. The better an explanation a source provides for an opinion, the more weight [the ALJ] will give that opinion." 20 C.F.R. § 416.927(c)(3) (2014). Dr. Sloop's opinion of Plaintiff's level of functioning appeared to be based solely on Plaintiff's subjective complaints. Dr. Sloop—who is a psychologist—did not perform a physical examination of Plaintiff (
More than the decision to reject Drs. Iskander and Sloop's opinion, however, Plaintiff objects to the ALJ's reliance on Dr. Cader's opinion. In his objection, he contends that, "Dr. Cader did not have a full set of accurate reports to make a rational decision. Another DDS physician indicated the day after Dr. Cader's opinion that the evidence was not sufficient to make a decision. . . . Further complicated is the fact that another's [sic] person's records were entered into this medical record." (Pl.'s Obj. pg. 5.) First, Plaintiff does not indicate which medical evidence was allegedly missing from Dr. Cader's evaluation, much less whether the evidence was so persuasive that it would have changed the ALJ's overall conclusion. Second, unanimity of opinions is not required for the ALJ to rely on Dr. Cader's opinion; all that is necessary is that Dr. Cader's opinion be "consistent with the record."
On this Record, there is substantial evidence to support the ALJ's decision to discount the opinions of Plaintiff's treating physicians. Likewise, because Dr. Cader's opinion is consistent with the Record, the ALJ was justified in accepting Dr. Cader's opinions regarding Plaintiff's level of functioning. I have reviewed those portions of the Record to which Plaintiff has made specific objections, and those objections will be overruled. I have reviewed the remainder of the Record for clear error and, finding none, I will affirm the ALJ's final decision.
The Clerk is directed to send a copy of this Memorandum Opinion and the accompanying Order to all counsel of record as well as to Magistrate Judge Hoppe.