Bell v. Colvin

Filing 36

MEMORANDUM OPINION AND ORDER entered that the decision of the Commissioner of Social Security denying Plaintiff benefits be affirmed. The Court simply MOOTS Plaintiff's motion to correct the record (Doc. 33) because none of the relevant medical information attached to the motion is material and, therefore, no remand is warranted. Signed by Magistrate Judge P. Bradley Murray on 6/30/2017. (eec)

IN THE UNITED STATES DISTRICT COURT
FOR THE SOUTHERN DISTRICT OF ALABAMA
NORTHERN DIVISION
STANLEY BELL,
Plaintiff,
vs.

:
:
:

CA 16-0214-MU

NANCY A. BERRYHILL,
:
Acting Commissioner of Social Security,
:
Defendant.
MEMORANDUM OPINION AND ORDER
Plaintiff brings this action, pursuant to 42 U.S.C. § 405(g), seeking judicial review
of a final decision of the Commissioner of Social Security denying his claim for a period
of disability and disability insurance benefits. The parties have consented to the
exercise of jurisdiction by the Magistrate Judge, pursuant to 28 U.S.C. § 636(c), for all
proceedings in this Court. (Docs. 30 & 31 (“In accordance with provisions of 28 U.S.C.
§636(c) and Fed.R.Civ.P. 73, the parties in this case consent to have a United States
magistrate judge conduct any and all proceedings in this case, . . . order the entry of a
final judgment, and conduct all post-judgment proceedings.”)). Upon consideration of
the administrative record, Plaintiff’s brief, the Commissioner’s brief, and the arguments
of counsel at the May 10, 2017 hearing before the Court, it is determined that the
Commissioner’s decision denying benefits should be affirmed.1

1

Any appeal taken from this memorandum opinion and order and judgment shall
be made to the Eleventh Circuit Court of Appeals. (See Docs. 30 & 31 (“An appeal from a
judgment entered by a magistrate judge shall be taken directly to the United States court of

(Continued)

I. Procedural Background
Plaintiff protectively filed an application for a period of disability and disability
insurance benefits on January 3, 2013, alleging disability beginning on November 1,
2008. (See Tr. 123-29.) His claim was initially denied on February 21, 2013 (Tr. 76-79)
and, following Plaintiff’s written request for a hearing before an Administrative Law
Judge (“ALJ”) (see Tr. 87-88), a hearing was conducted before an ALJ on May 29, 2014
(Tr. 35-66). During the hearing, Bell amended his disability onset date to November 9,
2012. (See Tr. 38.) On October 27, 2014, the ALJ issued a decision finding that the
claimant was not disabled and, therefore, not entitled to disability insurance benefits.
(Tr. 18-30.) More specifically, the ALJ went to the fifth step of the five-step sequential
evaluation process and determined that Bell retains the residual functional capacity to
perform those unskilled light jobs identified by the vocational expert (“VE”) during the
administrative hearing (compare id. at 29 with Tr. 60-62). On December 22, 2014, the
Plaintiff appealed the ALJ’s unfavorable decision to the Appeals Council (Tr. 12-14)
and, the Appeals Council denied Bell’s request for review on April 11, 2016 (Tr. 1-4).2
Thus, the hearing decision became the final decision of the Commissioner of Social
Security.

appeals for this judicial circuit in the same manner as an appeal from any other judgment of this
district court.”))
2

In the course of its decision denying Ball’s request for review, the Appeals
Council noted the following: “We also looked at records and a medical source statement from
Perry Timberlake, M.D. dated August 5, 2015 (4 pages). The Administrative Law Judge decided
your case through December 31, 2013, the date you were last insured for disability benefits.
This new information is about a later time. Therefore, it does not affect the decision about
whether you were disabled at the time you were last insured for disability benefits.” (Tr. 2.)

2

Plaintiff alleges disability due to depressive disorder, degenerative changes in
the knee, and shoulder tendonitis. In light of the issues raised by Plaintiff in her brief
(see Doc. 18, at 3 & 7), the Court simply replicates most of the residual functional
capacity portion of the ALJ’s decision (Tr. 30-36),3 as follows:
5.
After careful consideration of the entire record, the
undersigned finds that, through the date last insured, the claimant
had the residual functional capacity to perform light work as defined
in 20 CFR 404.1567(b). He can lift and/or carry twenty pounds
occasionally and ten pounds frequently; can stand and/or walk six
hours in an eight-hour day; can sit for 6 hours out of an eight-hour
workday; can push/pull up to twenty pounds; can frequently balance;
occasionally stoop, kneel, and crouch; never crawl; can frequently
climb ramps and stairs; occasionally climb ladders, ropes, or
scaffolds; can perform fine and gross manipulation without
limitation; can only occasionally engage in overhead reaching with
right upper extremity; no visual or hearing limitations; avoid
concentrated exposure to unprotected heights and hazardous
moving machinery; avoid excessive vibrations; can understand,
remember and carry out simple routine repetitive tasks continually;
can occasionally perform detailed tasks; can occasionally perform
complex tasks; can maintain attention and concentration for two[]
hours across an 8-hour workday with normal breaks; interact
appropriately with co-workers and supervisors; contact with the
public should be no more than occasional; [and] changes in the work
setting should be minimal.
.

.

.

There is no medical evidence of treatment after December 8, 2010, for
almost two years, or until he was seen at Med Center Demopolis on
November 9, 2012. The records show that his chief complaints at the time
were right shoulder pain, both hips, and lower back pain for two years. He
reported injuring himself two years before and that the pain was still
constant. He reported being unable to sleep at night for the pain. He
reported associated symptoms of frontal headache and joint pain with no
swelling. He reported shoulder injury from a fall. He weighed 245 pounds
and his blood pressure was 132/87. The findings on physical examination

3

The undersigned will deal separately with Bell’s argument that the Appeals
Council’s erred in its decision with respect to the new evidence presented to it, particularly in
light of his June 13, 2017 motion to correct the record (Doc. 33).

3

were normal and he was assessed with headache; arthralgia; and
shoulder pain. He was prescribed Naprosyn and Norco with no refills. . . .
After filing for disability, a State Agency worksheet dated February 11,
2013, shows the doctor was contacted for clarification on the right
shoulder x-ray. The record indicates the doctor stated the x-rays showed
“AC separation old w/no acute fx”.
Records from Hale County Hospital Clinic show on May 3, 2013, the
claimant reported his right knee had been swollen for two weeks with no
pain and on/off bilateral shoulder pain for one year. He reported taking no
medications. Physical examination findings show his right knee was
slightly larger than the left but was non-tender. He weighed 225 pounds
and his blood pressure was 150/90. He was given prednisone.
The records from West Alabama Mental Health Center (West Alabama)
show the claimant was seen on May 13, 2013, as a self-referral. The
record shows the claimant reported he was laid off five years before and
was sad because he was not working. The record shows he reported he
had not been looking for work and was trying to get on disability. He
reported that he had shoulder problems and was being treated by different
doctors for that condition. The records note that the clinician rated the
claimant’s reliability as questionable. The claimant reported that he was
married and had no source of income. He reported that his wife was on
disability and that his son is an artist and helped him pay bills. He reported
that he spent his time watching television. He reported auditory
hallucinations and that his increased energy level made him dizzy when
walking. The intake evaluation noted the claimant complained of
anhedonia and that he has no “get up and go” anymore. He was assessed
with major depressive disorder single episode moderate. The record
shows over the counter Advil but no other prescriptions at that time. When
he returned on June 13, 2013, the record indicates minimal progress and
that he had deficient activity involvement and the goal was to increase
interest in activities. The therapist encouraged the claimant to exercise
and [make] healthy food choices. The next visit on July 11, 2013, shows
the claimant reported he had been having trouble with his family and
reported he and his wife fight all the time over finances. The therapist
encouraged better communication skills and a referral to a physician for
an assessment as soon as possible was to be made. The record noted he
had made moderate progress. His motor activity was calm and his
perceptual disturbances were within normal limits. The record shows he
was being prescribed pain medication for his knee. His visit of August 5,
2013, indicates he was still on no psychotropic medications. The claimant
reported not being involved in activities because “he does not have a ride
to get anywhere.” He reported good appetite and good sleep and his
perceptual disturbances were within normal limits. When he returned on
4

September 9, 2013, the claimant had made moderate progress and
reported he had been eating and sleeping well. He reported that he had
been feeling better because he had been focusing on watching football,
which makes him happy. He was to be referred to the physician for an
initial psychiatric assessment. On October 9, 2013, the record shows he
was making good progress. He reported going fishing, cutting grass and
spending time with his family. The claimant was seen by Swati Poddar,
M.D. on his visit of November 8, 2013. Dr. Poddar noted the claimant’s
thoughts were within normal limits. The claimant reported feeling low in his
mood for the past year. He reported that he was married and lived with his
wife at his son’s house. He reported drinking alcohol two times a week or
24 cans a week. He was prescribed Mirtazapine to be taken every night at
bedtime. He was to return to the clinic in three months and to follow-up
with psychotherapist for individual psychotherapy. Dr. Poddar assigned a
global assessment of functioning at Axis V of 90-1004. The therapist noted
the claimant reported a little trouble with his sleep. He reported that he
was more interested and taking part in more activities and had been
spending time with his brother daily.
Records from Hale County Hospital Clinic show on November 26, 2013,
the claimant report right knee pain, right shoulder pain, and headache. He
reported that his right knee had been giving away for a year. His blood
pressure was elevated at 138/102. Physical examination findings were
normal except for a hard nodule on the top of his right shoulder. His right
knee was normal. He weighed 228 pounds. He was to return in 4 months.
High blood pressure was entered as a clinical diagnosis, along with right
shoulder pain.
When he returned to West Alabama on December 23, 2013, he reported
things were going well. He indicated he had no side effects from his
medication and had been compliant. He reported that spending time with
his family helped manage his depression and had some improvement with
sleep. On January 24, 2014, the claimant reported auditory hallucinations,
but reported making moderate progress on goals and plan to continue
motivation to increase meaningful structured activity to occupy time and
thoughts. He reported good appetite ad good sleep. The claimant saw Dr.
Poddar on his next visit of February 3, 2014. He reported doing well and
able to carry out his activities of daily living (ADLs). His perceptual
disturbances were within normal limits and he reported good appetite and
4

“The Global Assessment of Functioning, or GAF scale, is a numeric scale (1
through 100) used as axis V of DSM-IV to rate the social, occupational and psychological
functioning of an adult and how well or adaptively an adult is meeting various problems in living.
A rating of 91-100 [is] indicative of a person with no symptoms. A rating of 90-81 is someone
[who] has few or no symptoms, good functioning in several areas, and no more than ‘everyday’
problems or concerns.” (Tr. 25, n.1.)

5

good sleep. He had some biological signs of depression. His dosage of
Mirtazapine was increased and he was to return to see Dr. Poddar in 3
months. Progress notes from his visit to the therapist on February 20,
2014, show he was making moderate progress. He reported being
involved in constructive activities and had been taking a walk every day.
He was compliant with his medication and reported no side effects. When
he returned on March 20, 2014, he was making good progress. He
reported that he had been getting out more with friends and relatives. He
reported being compliant with his medication but that it did not help. His
perceptual disturbances were within normal limits and he reported good
appetite and good sleep.
He returned to Hale County Hospital Clinic on March 31, 2014, for a
follow-up of his blood pressure. He reported numbness in his left leg and
burning in the sole of his left foot for months, along with chronic left knee
pain. The record indicates that claimant probably has osteoarthritis in his
shoulder and knee. His blood pressure was 132/90 and he weighed 236
pounds. Physical examination findings show he had no back pain. The
clinical diagnoses were pain in his left knee, neuropathy, and headache.
When he returned to West Alabama on April 17, 2014, he reported having
some trouble staying asleep. His perceptual disturbances were within
normal limits and he reported good appetite.
Records show that the claimant’s primary care physician at Hale County
Hospital Clinic, Dr. Perry Timberlake, indicated on June 11, 2014, that he
had ordered x-rays of the claimant’s knees and right shoulder to be taken
at the Good Samaritan Clinic before he could give an opinion as to the
claimant’s disability.
On June 23, 2014, the claimant underwent a medical examination by
State agency orthopedic consultant R. Rex Harris, M.D. Physical
examination findings show the claimant has full range of motion of the
neck, shoulders, elbows, wrists, and fingers. His grip is 5 out of 5
bilaterally. Pinch is excellent. He was able to open and close doors and
button and unbutton buttons, lace and unlace shoes, and pick up small
objects. His reflexes are 1+ and equal in the upper extremities with normal
sensation. His lumbar flexion is normal. There is full range of motion of the
hips, knees, and ankles. Toe extensors are normal. His reflexes are 1+
and equal in the lower extremities with normal sensation. His gait is
normal. Dr. Harris noted that the claimant can toe and heel walk and can
squat and rise. He noted that the x-rays of the right knee, standing view,
reveal well-preserved joint spaces with no evidence of arthritis, x-rays of
the right shoulder show no evidence of arthritis and no evidence of AC
joint arthritis. He opined that the claimant is capable of at least sedentary
work in the workplace.
6

On June 25, 2014, the claimant underwent a mental examination by State
agency consultant Donald W. Blanton, Ph.D. The claimant reported to Dr.
Blanton that he began to have depression in his 30s and does not know
why. The claimant described the depression as “I don’t want to do
anything and I’m angry all the time.” He also reported that the treatment
he had received from the mental health center had not been helpful to
him. He also reported that he had been separated from his wife for about
a year and a half. Dr. Blanton noted that the claimant was obsessing
about his health problems and did not appear to put forth good effort on
cognitive testing. He opined that the claimant’s performance brings all of
his complaints into question.
Records from The Radiology Clinic at Good Samaritan show the claimant
underwent knee x-rays ordered by Dr. Timberlake on July 24, 2014. The
report of left knee x-rays show mid tri-compartmental degenerative
changes but no discrete joint effusion and no acute abnormality. The
report of right knee x-rays show the same findings. On August 4, 2014,
report of an MRI of the right shoulder indicates the claimant has mild
supraspinatus and subcapularis tendinosis; mild subacromial/subdeltoid
bursitis; and elevation of the distal clavicle in relation to the acromion
suggestive of an old AC joint separation injury.
After careful consideration of the evidence, the undersigned finds that the
claimant’s medically determinable impairments could reasonably be
expected to cause the alleged symptoms; however, the claimant’s
statements concerning the intensity, persistence and limiting effects of
these symptoms are not entirely credible for the reasons explained in this
decision.
There are no objective findings or physical examination findings to support
the claimant’s allegations that his right knee swells 3 to 4 times a week,
and limits his ability to walk only 150 feet and stand 20 to 25 minutes. He
stated Dr. Timberlake told him to elevate his right leg above his heart
when he was swelling but the records do not indicate he was ever told
that. In addition, the treatment records do not support his testimony
regarding the frequency of knee swelling. X-rays of his knees only show
mild degenerative changes.
The objective findings and physical examination findings also do not
support that he has problems sitting due to shoulder pain, which cause
him to have to lie down. X-rays of his shoulder indicate mild tendinitis and
bursitis. All of the radiological and diagnostic studies indicate minimal
abnormality.

7

Additional factors, which the undersigned must also consider when
determining the claimant’s credibility and residual functional capacity, are
his daily activities and any other factors concerning the claimant’s
functional limitations and restrictions due to pain or other symptoms. The
claimant has alleged he is very restricted in his activities of daily living, in
that he spends most of his day lying around watching television, yet, he is
independent in his personal care and grooming and his psychiatrist
reported he is doing well and able to carry out his ADLs. Mental health
records indicate he reported going fishing, cutting grass and spending
time with his family. His mental health records do not support severe
mental symptoms.
The claimant’s medical records do not indicate any complaints of
medication side effects, as he testified. No treating or examining physician
has reported that the claimant has disabling pain or limitations and
physician examinations are essentially unremarkable. The claimant’s
treatment has been conservative and he has not received the type of
medical treatment one would expect for a totally disabled individual.
Based on the foregoing, the claimant’s symptoms and subjective
complaints are found not to be fully credible and are not consistent with
the objective medical evidence and other evidence based on the
requirements of 20 CFR §[] 404.929.
The assessment of the claimant’s residual functional capacity allows for
many of his subjective complaints. The medical evidence shows the
claimant reported headaches a few times but not the frequency as the
claimant testified. In consideration of having occasional headaches, the
residual functional capacity limits him to no excessive vibrations. The
claimant testified of being unable to grip more than a second, but there is
no medical evidence of an impairment that would cause any manipulative
limitations. Giving the claimant full benefit of doubt and viewing the totality
of the evidence, the undersigned finds that a restriction to light work would
significantly reduce the impact of the claimant’s shoulder and knee
impairments. He would not be required to lift or carry much weight, while
also allowing for significant environmental and postural restrictions. In
consideration of the mild degenerative changes in his knees, he has been
assessed with postural limitations. In consideration of the claimant’s
testimony that he cannot reach above his right shoulder, he is limited to
only occasional reaching overhead with his right upper extremity. The
undersigned finds that the evidence supports that the claimant’s
depressive disorder would not preclude the ability to perform the mental
requirements of unskilled work. No treating physician or medical
consultant has indicated that the claimant is disabled and there is no
contraindication in the medical evidence of record for the ability to perform
at least unskilled light work with the above listed limitations.

8

As for the opinion evidence, good weight is afforded Dr. Harris’s physical
examination findings, which are consistent with the treatment records from
Hale County Hospital Clinic. However, no weight is afforded the opinions
Dr. Harris expressed in his Medical Source Statement as they are
inconsistent with his own physical examination findings that indicate no
abnormalities.
No weight is afforded the report by Dr. Hinton as it shows the claimant did
not put forth good effort on cognitive testing.
.

.

.

6.
Through the date last insured, the claimant was unable to
perform any past relevant work.
.

.

.

7.
The claimant was born on April 8, 1961 and was 52 years old,
which is defined as an individual closely approaching advanced age,
on the date last insured.
8.
The claimant has at least a high school education and is able
to communicate in English.
9.
Transferability of job skills is not an issue in this case because
the claimant’s past relevant work is unskilled.
10.
Through the date last insured, considering the claimant’s age,
education, work experience, and residual functional capacity, there
were jobs that existed in significant numbers in the national
economy that the claimant could have performed.
.

.

.

Through the date last insured, if the claimant had the residual functional
capacity to perform the full range of light work, a finding of “not disabled”
would be directed by Medical-Vocational Rule 202.13. However, the
claimant’s ability to perform all or substantially all of the requirements of
this level of work was impeded by additional limitations. To determine the
extent to which these limitations erode the unskilled light occupational
base, through the date last insured, the Administrative Law Judge asked
the vocational expert whether jobs existed in the national economy for an
individual with the claimant’s age, education, work experience, and
residual functional capacity. The vocational expert testified that given all of
these factors the individual would have been able to perform the
requirements of representative unskilled light occupations such as
9

garment sorter, DOT Code 222.687-014, light and unskilled with an SVP
2, 700 jobs in Alabama and 130,000 jobs nationally; marker, DOT Code
209.587-034, light and unskilled with an SVP 2, 2,000 jobs in Alabama
and one million jobs nationally; and silverware wrapper, DOT Code
318.687-010, light and unskilled with an SVP 1, 600 jobs in Alabama and
200,000 jobs nationally.
Pursuant to SSR 00-4p, the undersigned has determined that the
vocational expert’s testimony is consistent with the information contained
in the Dictionary of Occupational Titles.
Based on the testimony of the vocational expert, the undersigned
concludes that, through the date last insured, considering the claimant’s
age, education, work experience, and residual functional capacity, the
claimant was capable of making a successful adjustment to other work
that existed in significant numbers in the national economy. A finding of
“not disabled” is therefore appropriate under the framework of the abovecited rule.
11.
The claimant was not under a disability, as defined in the
Social Security Act, at any time from November 1, 2008, the alleged
onset date, through December 31, 2013, the date last insured.
(Tr. 22, 23-28, 28 & 29 (internal citations omitted)).
II. Standard of Review and Claims on Appeal
In all Social Security cases, an ALJ utilizes a five-step sequential evaluation
to determine whether the claimant is disabled, which considers: (1)
whether the claimant is engaged in substantial gainful activity; (2) if not,
whether the claimant has a severe impairment; (3) if so, whether the
severe impairment meets or equals an impairment in the Listing of
Impairments in the regulations; (4) if not, whether the claimant has the
RFC to perform h[is] past relevant work; and (5) if not, whether, in light of
the claimant’s RFC, age, education and work experience, there are other
jobs the claimant can perform.
Watkins v. Commissioner of Soc. Sec., 457 Fed. Appx. 868, 870 (11th Cir. Feb. 9,
2012)5 (per curiam) (citing 20 C.F.R. §§ 404.1520(a)(4), (c)-(f), 416.920(a)(4), (c)-(f);
Phillips v. Barnhart, 357 F.3d 1232, 1237 (11th Cir. 2004)) (footnote omitted). The
5

“Unpublished opinions are not considered binding precedent, but they may be
cited as persuasive authority.” 11th Cir.R. 36-2.

10

claimant bears the burden, at the fourth step, of proving that he is unable to perform his
previous work. Jones v. Bowen, 810 F.2d 1001 (11th Cir. 1986). In evaluating whether
the claimant has met this burden, the examiner must consider the following four factors:
(1) objective medical facts and clinical findings; (2) diagnoses of examining physicians;
(3) evidence of pain; and (4) the claimant’s age, education and work history. Id. at
1005. Although “a claimant bears the burden of demonstrating an inability to return to
his

past relevant work, the [Commissioner of Social Security] has an obligation to

develop a full and fair record.” Schnorr v. Bowen, 816 F.2d 578, 581 (11th Cir. 1987)
(citations omitted). If a plaintiff proves that he cannot do his past relevant work, as here,
it then becomes the Commissioner’s burden—at the fifth step—to prove that the plaintiff
is capable—given his age, education, and work history—of engaging in another kind of
substantial gainful employment that exists in the national economy. Phillips, supra, 357
F.3d at 1237; Jones v. Apfel, 190 F.3d 1224, 1228 (11th Cir. 1999), cert. denied, 529
U.S. 1089, 120 S.Ct. 1723, 146 L.Ed.2d 644 (2000); Sryock v. Heckler, 764 F.2d 834,
836 (11th Cir. 1985).
The task for the Magistrate Judge is to determine whether the Commissioner’s
decision to deny claimant benefits, on the basis that he can perform those light,
unskilled jobs identified by the vocational expert at the administrative hearing, is
supported by substantial evidence. Substantial evidence is defined as more than a
scintilla and means such relevant evidence as a reasonable mind might accept as
adequate to support a conclusion. Richardson v. Perales, 402 U.S. 389, 91 S.Ct. 1420,
28 L.Ed.2d 842 (1971). “In determining whether substantial evidence exists, we must
view the record as a whole, taking into account evidence favorable as well as

11

unfavorable to the Commissioner’s] decision.” Chester v. Bowen, 792 F.2d 129, 131
(11th Cir. 1986).6 Courts are precluded, however, from “deciding the facts anew or reweighing the evidence.” Davison v. Astrue, 370 Fed. Appx. 995, 996 (11th Cir. Apr. 1,
2010) (per curiam) (citing Dyer v. Barnhart, 395 F.3d 1206, 1210 (11th Cir. 2005)). And,
“’[e]ven if the evidence preponderates against the Commissioner’s findings, [a court]
must affirm if the decision reached is supported by substantial evidence.’” Id. (quoting
Crawford v. Commissioner of Social Security, 363 F.3d 1155, 1158-1159 (11th Cir.
2004)).
On appeal to this Court, Bell asserts two reasons why the Commissioner’s
decision to deny him benefits is in error (i.e., not supported by substantial evidence): (1)
the ALJ erred in rejecting the opinions of the consultative examiners, Dr. Richard R.
Harris and Dr. Donald W. Blanton; and (2) the Appeals Council erred in refusing to
consider the opinion of the treating physician, Dr. Perry Timberlake, based solely on the
date reflected on the assessment form.
A.

Opinions of Consultative Examiners Dr. Richard R. Harris and Dr.

Donald W. Blanton. The Plaintiff’s first assignment of error is that the ALJ reversibly
erred in rejecting the opinions of consultative examiners Dr. Richard Harris and Dr.
Donald Blanton. (Doc. 18, at 3-6.) In making this argument, Bell also contends that the
ALJ’s residual functional capacity determination is not supported by substantial
evidence in light of his improper rejection of the opinions of these two consultative

6

This Court’s review of the Commissioner’s application of legal principles,
however, is plenary. Walker v. Bowen, 826 F.2d 996, 999 (11th Cir. 1987).

12

examiners. (See id.) Accordingly, the undersigned considers Bell’s consultative
examiner argument under the larger “umbrella” of the ALJ’s RFC determination.
The responsibility for making the residual functional capacity determination rests
with the ALJ. Compare 20 C.F.R. § 404.1546(c) (“If your case is at the administrative
law judge hearing level . . ., the administrative law judge . . . is responsible for assessing
your residual functional capacity.”) with, e.g., Packer v. Commissioner, Social Security
Admin., 542 Fed. Appx. 890, 891-892 (11th Cir. Oct. 29, 2013) (per curiam) (“An RFC
determination is an assessment, based on all relevant evidence, of a claimant’s
remaining ability to do work despite her impairments. There is no rigid requirement that
the ALJ specifically refer to every piece of evidence, so long as the ALJ’s decision is not
a broad rejection, i.e., where the ALJ does not provide enough reasoning for a
reviewing court to conclude that the ALJ considered the claimant’s medical condition as
a whole.” (internal citation omitted)). A plaintiff’s RFC—which “includes physical abilities,
such as sitting, standing or walking, and mental abilities, such as the ability to
understand, remember and carry out instructions or to respond appropriately to
supervision, co-workers and work pressure[]”—“is a[n] [] assessment of what the
claimant can do in a work setting despite any mental, physical or environmental
limitations caused by the claimant’s impairments and related symptoms.” Watkins v.
Commissioner of Social Security, 457 Fed. Appx. 868, 870 n.5 (11th Cir. Feb. 9, 2012)
(citing 20 C.F.R. §§ 404.1545(a)-(c), 416.945(a)-(c)); see also 20 C.F.R. §
404.1545(a)(3) (in assessing RFC, the Commissioner is required to consider
“descriptions and observations of [the claimant’s] limitations from [] impairments,

13

including limitations that result from [] symptoms, such as pain, provided by [the
claimant] . . . .”).
To find that an ALJ’s RFC determination is supported by substantial evidence, it
must be shown that the ALJ has “’provide[d] a sufficient rationale to link’” substantial
record evidence “’to the legal conclusions reached.’” Ricks v. Astrue, 2012 WL
1020428, *9 (M.D. Fla. Mar. 27, 2012) (quoting Russ v. Barnhart, 363 F. Supp. 2d 1345,
1347 (M.D. Fla. 2005)); compare id. with Packer v. Astrue, 2013 WL 593497, *4 (S.D.
Ala. Feb. 14, 2013) (“’[T]he ALJ must link the RFC assessment to specific evidence in
the record bearing upon the claimant’s ability to perform the physical, mental, sensory,
and other requirements of work.’”), aff’d, 542 Fed. Appx. 890 (11th Cir. Oct. 29, 2013);
see also Hanna v. Astrue, 395 Fed. Appx. 634, 636 (11th Cir. Sept. 9, 2010) (per
curiam) (“The ALJ must state the grounds for his decision with clarity to enable us to
conduct meaningful review. . . . Absent such explanation, it is unclear whether
substantial evidence supported the ALJ’s findings; and the decision does not provide a
meaningful basis upon which we can review [a plaintiff’s] case.” (internal citation
omitted)).7 However, in order to find the ALJ’s RFC assessment supported by
7

It is the ALJ’s (or, in some cases, the Appeals Council’s) responsibility, not the
responsibility of the Commissioner’s counsel on appeal to this Court, to “state with clarity” the
grounds for an RFC determination. Stated differently, “linkage” may not be manufactured
speculatively by the Commissioner—using “the record as a whole”—on appeal, but rather, must
be clearly set forth in the Commissioner’s decision. See, e.g., Durham v. Astrue, 2010 WL
3825617, *3 (M.D. Ala. Sept. 24, 2010) (rejecting the Commissioner’s request to affirm an ALJ’s
decision because, according to the Commissioner, overall, the decision was “adequately
explained and supported by substantial evidence in the record”; holding that affirming that
decision would require that the court “ignor[e] what the law requires of the ALJ[; t]he court ‘must
reverse [the ALJ’s decision] when the ALJ has failed to provide the reviewing court with
sufficient reasoning for determining that the proper legal analysis has been conducted’” (quoting
Hanna, 395 Fed. Appx. at 636 (internal quotation marks omitted))); see also id. at *3 n.4 (“In his
brief, the Commissioner sets forth the evidence on which the ALJ could have relied . . . . There
may very well be ample reason, supported by the record, for [the ALJ’s ultimate conclusion].

(Continued)
14

substantial evidence, it is not necessary for the ALJ’s assessment to be supported by
the assessment of an examining or treating physician. See, e.g., Packer, supra, 2013
WL 593497, at *3 (“[N]umerous court have upheld ALJs’ RFC determinations
notwithstanding the absence of an assessment performed by an examining or treating
physician.”); McMillian v. Astrue, 2012 WL 1565624, *4 n.5 (S.D. Ala. May 1, 2012)
(noting that decisions of this Court “in which a matter is remanded to the Commissioner
because the ALJ’s RFC determination was not supported by substantial and tangible
evidence still accurately reflect the view of this Court, but not to the extent that such
decisions are interpreted to require that substantial and tangible evidence must—in all
cases—include an RFC or PCE from a physician” (internal punctuation altered and
citation omitted)); but cf. Coleman v. Barnhart, 264 F.Supp.2d 1007 (S.D. Ala. 2003).
In this case, the Court finds that the ALJ linked his RFC assessment—that is, a
reduced range of light work—to specific evidence in the record bearing upon Bell’s
ability to perform the physical, mental, sensory and other requirements of work.
(Compare Tr. 22 & 23-28 with generally Tr. 194-308.) In particular, even though the
Plaintiff is correct that the ALJ rejected the majority of Dr. Harris’ physical RFC opinions
(see Tr. 287-92), as well as the mental RFC opinions/findings of Dr. Blanton (see Tr.
296-98), the ALJ set forth adequate reasons for rejecting these particular opinions (Tr.

However, because the ALJ did not state his reasons, the court cannot evaluate them for
substantial evidentiary support. Here, the court does not hold that the ALJ’s ultimate conclusion
is unsupportable on the present record; the court holds only that the ALJ did not conduct the
analysis that the law requires him to conduct.” (emphasis in original)); Patterson v. Bowen, 839
F.2d 221, 225 n.1 (4th Cir. 1988) (“We must . . . affirm the ALJ’s decision only upon the reasons
he gave.”).

15

28).8 The ALJ correctly observed that the opinions expressed by Dr. Harris in his
Medical Source Statement (that is, his physical RFC assessment) were “inconsistent
with his own physical examination findings that indicate no abnormalities[]” (Tr. 28). Dr.
Harris’ physical examination findings were entirely normal and devoid of any
abnormalities (see Tr. 284 (“There is full range of motion of the neck, shoulders, elbows,
wrists, and fingers. Grip is 5 out of 5 bilaterally. Pinch is excellent. The claimant can
open and close doors and button and unbutton buttons, and lace and unlace shoes and
pick up small objects. Reflexes are 1+ and equal in the upper extremities. Sensation is
normal in the upper extremities. Lumbar flexion is normal. There is full range of motion
of the hips, knees and ankles. Toe extensors are normal. Reflexes are 1+ and equal in
the lower extremities. Sensation is normal in the lower extremities. Gait is normal. The
claimant can toe and heel walk and can squat and arise. X-rays of the right knee,
standing review, reveal well preserved joint spaces with no evidence of arthritis. X-rays
of the right shoulder shows no evidence of arthritis. No evidence of AC joint arthritis.”));
therefore, these objective findings of Dr. Harris supplied the ALJ with good cause to
reject the consultative examiner’s RFC opinions. Cf., e.g., Gilabert v. Commissioner of
Social Sec., 396 Fed.Appx. 652, 655 (11th Cir. Sept. 21, 2010) (per curiam) (finding
8

In general, “the opinions of examining physicians are given more weight than
those of non-examining physicians, treating physicians are given more weight than those of
physicians who examine but do not treat, and the opinions of specialists are given more weight
on issues within the area of expertise than those of non-specialists.” McNamee v. Social
Security Administration, 164 Fed.Appx. 919, 923 (11th Cir. Jan. 31, 2006). In assessing the
medical evidence, “[t]he ALJ must state with particularity the weight given to different medical
opinions and the reasons therefor[,]” Romeo v. Commissioner of Social Security, 2017 WL
1430964, *1 (11th Cir. Apr. 24, 2017) (citing Winschel v. Commissioner of Social Security, 631
F.3d 1176, 1179 (11th Cir. 2011)), and the ALJ’s stated reasons must be legitimate and
supported by the record, see Tavarez v. Commissioner of Social Security, 638 Fed.Appx. 841,
847 (11th Cir. Jan. 7, 2016) (finding that the “ALJ did not express a legitimate reason supported
by the record for giving [the consulting physician’s] assessment little weight.”).

16

good cause exists to not accord substantial or considerable weight to opinion of a
treating physician where that opinion is inconsistent with the doctor’s own medical
records).
Turning to Dr. Blanton’s consultative opinion, which indicated significant
limitations in Bell’s ability to interact appropriately with supervision, co-workers, and the
public (see Tr. 297 (indicating marked limitations in plaintiff’s ability to interact
appropriately with the public and supervisors; a marked limitation in the ability to
respond appropriately to usual work situations and to changes in a routine work setting;
and a moderate limitation in the ability to interact appropriately with co-workers)), the
ALJ accorded it no weight because “the claimant did not put forth good effort on
cognitive testing[.]” (Tr. 28.) Although Plaintiff would have this Court question the reason
offered by the ALJ for rejecting Dr. Blanton’s opinion, on the basis that Dr. Blanton did
not express any doubt about Bell’s depression (see Doc. 18, at 6 (“[D]espite Mr. Bell’s
lack of effort on cognitive testing, there is no indication he did not cooperate with the
remainder of the mental status examination. Dr. Blanton never expressed any doubt
regarding Mr. Bell’s depressive disorder, and in fact he made the definitive diagnosis of
major depression recurrent type[.]”)), this Court simply cannot find in favor of Plaintiff in
this regard given Dr. Blanton’s specific statement that the claimant’s “performance here
today brings all of his complain[t]s [into] question.” (Tr. 295; see also id. (“Stanley Bell is
a 53-year-old black male who may be having some depression problems but he did
appear to not put forth good effort on cognitive testing today. He may be very limited
intellectually but his performance here today brings all of his complain[t]s [into]
question.”)). In other words, Dr. Blanton’s statements on his examination summary are

17

much broader than the Plaintiff would have this Court find and those statements
undermine the viability of the mental limitations reflected on Blanton’s medical source
statement (compare id. with Tr. 297). Moreover, in entering a diagnosis (that is, major
depression recurrent type), Dr. Blanton simply “intoned” Bell’s previous diagnosis (Tr.
295 (“major depression recurrent type, previously diagnosed”)), while also noting that
malingering needed to be ruled out (id.). Therefore, the diagnosis, by itself, cannot
serve to substantiate the severe limitations noted on the mental medical source
statement both because Blanton equivocates in making the diagnosis (Tr. 295 (“DSM V
a) major depression recurrent type, previously diagnosed b) rule out malingering”)) and
because Bell’s treating source not once gave any indication that this impairment would
cause the limitations noted by Blanton as related to the ability to interact appropriately
with supervision, co-workers, and the public (see Tr. 222-40 & 252-77 (reflecting, in
general, appropriate affect/mood and appearance/grooming, no orientation deficits or
perceptual disturbances, calm motor activity, good appetite, thoughts within normal
limits, and adequate insight and judgment)). Accordingly, this Court cannot agree with
Bell that the ALJ erred in rejecting Dr. Blanton’s mental RFC opinion. Cf., e.g., Gilabert,
supra, 396 Fed.Appx. at 655 (“Good cause [for failing to accord the opinion of a treating
physician substantial or considerable weight] is shown when the: ‘(1) treating
physician’s opinion was not bolstered by the evidence; (2) evidence supported a
contrary finding; or (3) treating physician’s opinion was conclusory or inconsistent with
the doctor’s own medical records.’” (quoting Phillips v. Barnhart, 357 F.3d 1232, 1241
(11th Cir. 2004)).

18

In conclusion, the undersigned would simply note that the ALJ in this case
specifically linked his RFC determination (see Tr. 22 (“After careful consideration of
the entire record, the undersigned finds that, through the date last insured, the
claimant had the residual functional capacity to perform light work as defined in
20 CFR 404.1567(b). He can lift and/or carry twenty pounds occasionally and ten
pounds frequently; can stand and/or walk six hours in an eight-hour day; can sit
for 6 hours out of an eight-hour workday; can push/pull up to twenty pounds; can
frequently balance; occasionally stoop, kneel, and crouch; never crawl; can
frequently climb ramps and stairs; occasionally climb ladders, ropes, or
scaffolds; can perform fine and gross manipulation without limitation; can only
occasionally engage in overhead reaching with right upper extremity; no visual or
hearing limitations; avoid concentrated exposure to unprotected heights and
hazardous moving machinery; avoid excessive vibrations; can understand,
remember and carry out simple routine repetitive tasks continually; can
occasionally perform detailed tasks; can occasionally perform complex tasks;
can maintain attention and concentration for two[] hours across an 8-hour
workday with normal breaks; interact appropriately with co-workers and
supervisors; contact with the public should be no more than occasional; [and]
changes in the work setting should be minimal.”)) with specific evidence in the
record bearing upon the claimant’s ability to perform the physical, mental, sensory, and
other requirements of work (compare Tr. 27 (“The assessment of the claimant’s residual
functional capacity allows for many of his subjective complaints. The medical evidence
shows the claimant reported headaches a few times but not the frequency as the

19

claimant testified. In consideration of having occasional headaches, the residual
functional capacity limits him to no excessive vibrations. The claimant testified of being
unable to grip more than a second, but there is no medical evidence of an impairment
that would cause any manipulative limitations. Giving the claimant full benefit of doubt
and viewing the totality of the evidence, the undersigned finds that a restriction to light
work would significantly reduce the impact of the claimant’s shoulder and knee
impairments. He would not be required to lift or carry much weight, while also allowing
for significant environmental and postural restrictions. In consideration of the mild
degenerative changes in his knees, he has been assessed with postural limitations. In
consideration of the claimant’s testimony that he cannot reach above his right shoulder,
he is limited to only occasional reaching overhead with his right upper extremity. The
undersigned finds that the evidence supports that the claimant’s depressive disorder
would not preclude the ability to perform the mental requirements of unskilled work. No
treating physician or medical consultant has indicated that the claimant is disabled and
there is no contraindication in the medical evidence of record for the ability to perform at
least unskilled light work with the above listed limitations.”) with Tr. 194-201, 217, 24346, 284-86, 301-02 & 305-07 (reflecting grossly normal findings on physical
examinations, with the exception of a hard nodule on the top of the right shoulder; xrays of the knees showing no acute abnormality; and MRI of the right shoulder reflecting
mild supraspinatus and subscapularis tendinosis, with no rotator cuff tear, and mild
subscromial/subdeltoid bursitis) and Tr. 222-40 & 252-77 (reflecting, in general,
appropriate affect/mood and appearance/grooming, no orientation deficits or perceptual
disturbances, calm motor activity, good appetite, thoughts within normal limits, and

20

adequate insight and judgment)). Accordingly, the undersigned finds that the ALJ’s RFC
assessment is supported by substantial evidence and, as a result, this Court cannot find
in Plaintiff’s favor with respect to his first assignment of error.
B.

New Evidence Submitted to the Appeals Council. Bell contends that

the Appeals Council erred in refusing to consider the opinion of the treating physician,
Dr. Perry Timberlake, based solely on the date of the assessment form. (Doc. 18, at 79.) Within the context of this “new evidence” argument, Plaintiff also parenthetically
noted that he presented to the Appeals Council certain treatment records, dated May
30, 2014 through June 1, 2015, that do not appear in the record and which his attorney
asserted, during oral arguments on May 10, 2017, were returned to him by the Appeals
Council. All of this prompted Plaintiff to file, on June 13, 2017, a motion to correct the
record by submitting the records purportedly returned to his attorney, as well as a June
1, 2017 additional letter opinion by the Appeals Council. (See Doc. 33 & Attachments.)9
There is no question but that the information Plaintiff’s counsel has now supplied this
Court indicates that the treatment notes from the Hale County Hospital Clinic, which are
primarily from Dr. Timberlake, from May 30, 2014 through June 1, 2015 were part and
parcel of the information sent to the Appeals Council on November 27, 2015 (see Doc.
33, Attached ERE Form); however, because these medical records (see Doc. 33,
Attached Medical Records, at 8-15) are not part of the administrative record filed in this
9

The Court would note that some of the attached medical records are part of the
administrative transcript, either as “new evidence” addressed by the Appeals Council—that is,
the records generated by Dr. Perry Timberlake on August 3, 2015 (compare Doc. 33, Attached
Medical Records, at 2-7 with Tr. 8-11)—or as evidence addressed by the ALJ—that is, the MRI
report dated August 4, 2014 (compare Doc. 33, Attached Medical Records, at 16 with Tr. 305).
Therefore, these medical records obviously will not be referenced during discussion of Plaintiff’s
motion to correct record (Doc. 33), beyond what has been rendered necessary by the
Commissioner’s response (see Doc. 35).

21

Court (see Doc. 16, Social Security Transcript), the undersigned initially considers the
Appeals Council’s treatment of Dr. Timberlake’s treatment notes and medical source
and CAP statements dated August 3, 2015 (see Tr. 8-11). With respect to this evidence,
the Appeals Council stated the following: “We also looked at records and a medical
source statement from Perry Timberlake, M.D. dated August [3], 2015 (4 pages). The
Administrative Law Judge decided your case through December 31, 2013, the date you
were last insured for disability benefits. This new information is about a later time.
Therefore, it does not affect the decision about whether you were disabled at the time
you were last insured for disability benefits.” (Tr. 2.)
The Eleventh Circuit has made clear that “[w]ith few exceptions, the claimant is
allowed to present new evidence at each stage of th[e] administrative [review]
process[,]” including before the Appeals Council. Ingram v. Commissioner of Social
Security Admin., 496 F.3d 1253, 1261 (11th Cir. 2007). And while the Appeals Council
has the discretion not to review the ALJ’s denial of benefits, Flowers v. Commissioner of
Social Security, 441 Fed.Appx. 735, 745 (11th Cir. Sept. 30, 2011), it “must consider
new, material, and chronologically relevant evidence” submitted by the claimant.
Ingram, supra, 496 F.3d at 1261; see also 20 C.F.R. § 404.970(b) (“If new and material
evidence is submitted, the Appeals Council shall consider the additional evidence only
where it relates to the period on or before the date of the administrative law judge
hearing decision.”).
The new evidence is material if it is “relevant and probative so that there is
a reasonable possibility that it would change the administrative result.”
Hyde v. Bowen, 823 F.2d 456, 459 (11th Cir. 1987) (citations omitted). It is
chronologically relevant if “it relates to the period on or before the date of
the [ALJ] hearing decision.” 20 C.F.R. § 404.970(b). If these conditions are
satisfied, the Appeals Council [] must then review the case to see whether
22

the ALJ’s “action, findings, or conclusion is contrary to the weight of the
evidence currently of record.” Id.
Ring v. Berryhill, 2017 WL 992174, *4 (N.D. Ala. Mar. 15, 2017).
In Flowers, supra, the Eleventh Circuit made clear that “[w]hen a claimant
properly presents new evidence, and the Appeals Council denies review, the Appeals
Council must show in its written denial that it has adequately evaluated the new
evidence.” 441 Fed.Appx. at 745 (citation omitted). Indeed, “[i]f the Appeals Council
merely ‘perfunctorily adhere[s]’ to the ALJ’s decision, the Commissioner’s findings are
not supported by substantial evidence and we must remand ‘for a determination of [the
claimant’s] disability eligibility reached on the total record.’” Id., quoting Epps v. Harris,
624 F.2d 1267, 1273 (5th Cir. 1980). The panel in Flowers ultimately concluded that the
Appeals Council did not adequately consider the new evidence submitted by the
claimant because “apart from acknowledging that Flowers had submitted new evidence,
the Appeals Council made no further mention of it or attempt to evaluate it.” Id.
However, since the decision in Flowers, subsequent panels of the Eleventh
Circuit have indicated that where the Appeals Council accepts a claimant’s new
evidence but denies “review because the additional evidence fail[s] to establish error in
the ALJ’s decision[,]” that administrative body adequately evaluates the new evidence.
Mitchell v. Commissioner, Social Security Admin., 771 F.3d 780, 784 (11th Cir. 2014);
see also Beavers v. Social Security Admin., Commissioner, 601 Fed.Appx. 818, 822
(11th Cir. Feb. 9, 2015) (“Here, the Appeals Council denied Worthy’s petition for review,
stating, as it did in Mitchell, that it had considered Worthy’s reasons for disagreeing with
the ALJ’s decision and her new evidence, but found that the new evidence did not
provide a basis for changing the ALJ’s decision. Under Mitchell, no further explanation
23

was required of the Appeals Council.”). Indeed, the Mitchell panel noted that the
Appeals Council “was not required to provide a detailed rationale for denying review.”
771 F.3d at 784; see also id. at 784-85 (“We note that our conclusion that the Appeals
Council is not required to explain its rationale for denying a request for review is
consistent with the holdings of other circuits that have considered this issue.”).
These subsequent panel cases leave the viability of Flowers somewhat
questionable given that, as noted by the court in Flowers, the Appeals Council “stated
that it had considered Flowers’s reasons for her disagreement with the ALJ’s decision
and her additional evidence[]” but “concluded ‘that this information does not provide a
basis for changing the Administrative Law Judge’s decision.’” 441 Fed.Appx. at 740.
This, of course, is the exact Appeals Council rationale upheld by later Eleventh Circuit
panels in Mitchell and Beavers without need for further explanation/evaluation.
Compare id. with Mitchell supra, 771 F.3d at 784-85 and Beavers, supra, 601 Fed.Appx.
at 822.
With these principles in mind, the Court turns first to Plaintiff’s arguments relative
to the Appeals Council’s treatment of Dr. Timberlake’s treatment records and medical
source and CAP statements dated August 3, 2015, which, as aforesaid, was, as follows:
“We also looked at records and a medical source statement from Perry Timberlake,
M.D. dated August [3], 2015 (4 pages). The Administrative Law Judge decided your
case through December 31, 2013, the date you were last insured for disability benefits.
This new information is about a later time. Therefore, it does not affect the decision
about whether you were disabled at the time you were last insured for disability
benefits.” (Tr. 2.) According to Plaintiff, these statements are inappropriate and do not

24

demonstrate that the ALJ adequately evaluated the new evidence, thereby requiring
remand. (Doc. 18, at 8 (citing numerous cases, including Flowers, supra; Jennings v.
Colvin, 2014 WL 1668487 (S.D. Ala. Apr. 28, 2014); Hunter v. Colvin, 2013 WL
1219746 (S.D. Ala. Mar. 25, 2013); and Bowden v. Commissioner of Social Security,
2012 WL 2179119 (M.D. Fla. Jun. 13, 2012)). This Court cannot agree with this initial
argument by Plaintiff because, as alluded to earlier, Eleventh Circuit panel opinions
subsequent to Flowers have called into question any remaining viability of Flowers,
compare Mitchell, supra, 771 F.3d at 784-85 with Beavers, 601 Fed.Appx. at 822, and
since the remaining cases relied upon by Plaintiff all contain language similar to
Flowers, compare id. at 740 (“The Appeals Council stated that it had considered
Flowers’s reasons for her disagreement with the ALJ’s decision and her additional
evidence. The Appeals Council concluded ‘that this information does not provide a basis
for changing the Administrative Law Judge’s decision.’”) with Jennings, supra, at *5
(“[T]he Appeals Council merely provided the following perfunctory language: ‘In looking
at your case, we considered the reasons you disagree with the decision and the
additional evidence listed on the enclosed Order of Appeals Council. We found that this
information does not provide a basis for changing the Administrative Law Judge’s
decision.’”); Hunter, supra, at *4 (“’In looking at your case, we considered the reasons
you disagree with the decision and the additional evidence listed on the enclosed Order
of Appeals Council. . . . We found that this information does not provide a basis for
changing the Administrative Law Judge’s decision.’” (emphasis eliminated)); and
Bowden, supra, at *1 (“The Appeals Council stated that it had considered the additional
evidence submitted by Claimant, but it denied Claimant’s request for review, stating that

25

it ‘does not provide a basis for changing the [ALJ]’s decision.’”), this Court cannot agree
with Bell that the language utilized by the Appeals Council was inappropriate and does
not demonstrate that it adequately evaluated the new evidence, see Beavers, supra.
This conclusion is confirmed by more recent cases in which district courts have given no
indication that language all but identical to that utilized by the Appeals Council in this
case amounts to perfunctory language that does not demonstrate adequate/meaningful
evaluation of the new evidence. Compare Putman v. Colvin, 2016 WL 5253215, *10-11
(N.D. Ala. Sept. 22, 2016) (distinguishing Flowers and “automatic remand” in a case in
which the Appeals Council, in addition to stating “’this information does not provide a
basis for changing the [ALJ’s] decision[,]’” also “went on to explain that the ALJ ‘decided
your case through March 31, 2013, the date you were last insured for disability benefits.
This new information is about a later time. Therefore, it does not affect the decision
about whether you were disabled at the time you were last insured for disability
benefits.’”) with Matos v. Colvin, 2015 WL 5474486, *5 (M.D. Fla. Sept. 17, 2015) (“The
Appeals Council determined that the December 2012 opinion of Dr. Reeves did not
provide a basis for changing the ALJ’s decision because: ‘The Administrative Law
Judge decided your case through December 31, 2010, the date you were last insured
for disability benefits. This new information is about a later time. Therefore, it does not
affect the decision about whether you were disabled at the time you were last insured
for disability benefits.’ . . . Here, the opinion is dated almost two years after the date last
insured and there is no indication from Dr. Reeves that the limitations he found in 2012
were present two years earlier. Indeed, there is a dearth of evidence prior to the
expiration of Plaintiff’s insured status that could support these limitations. The only

26

evidence Plaintiff cites is a November 29, 2010 x-ray which revealed moderate
degenerative changes, soft tissue swelling and ossified bodies along the medial joint [].
There is no finding of the ‘significant subtalar joint arthrosis’ presented two years later.
The Appeals Council applied proper standards of law and its conclusion is supported by
substantial evidence.”); see Hunter, supra, at *4 (“Here, the Appeals Council could have
meaningfully addressed the plaintiff’s new evidence by, for example, specifically
rejecting it because (in its view) the new evidence did not relate to the period at issue.”).
Implicit in Putman and Matos is the recognition that the Appeals Council’s language,
which is identical to the language used by the Appeals Council in this case (save for
identification of the date last insured), is directed to materiality and/or chronological
relevance and, therefore, is not an inadequate/perfunctory evaluation of the evidence
requiring remand under Flowers and its progeny. See Putman, supra, at *10-11; Matos,
supra, at *5.
That the foregoing language utilized by the Appeals Council is directed to the
materiality and/or chronological relevance of the August 3, 2015 office record and
assessments penned by Dr. Timberlake offers the perfect transition to address Plaintiff’s
penultimate argument that the Appeals Council erred in refusing to consider the opinion
of Dr. Timberlake based solely on the date of the assessment form. (See Doc. 18, at 8-9
(“[T]his Court has determined that the date of the assessment is not the determining
factor. ‘The evidence presented here, a letter from plaintiff’s treating physician along
with a medical source statement and clinical assessment of pain completed by that
physician . . . is dated November 8, 2011 . . . while the ALJ’s decision here is dated
September 22, 2011[.] That Dr. Davis’s opinion is dated more than one month after

27

the ALJ’s decision, however, does not shut out the possibility, particularly because of
Dr. Davis’s longstanding treating relationship with the plaintiff, that his opinion ‘relate[s]
to the period on or before the date of the ALJ’s decision.’ [quoting Hunter, supra, at *3.]
Because of Dr. Timberlake’s status as a long-time treating physician, his opinion could
reasonably be material to the period of treatment before December 31, 2013.”)). This
Court simply cannot agree with Plaintiff that Dr. Timberlake’s August 3, 2015 medical
source statement and CAP could reasonably be material to the period before December
31, 2013, and this disagreement does not “stand” solely on the fact that Dr.
Timberlake’s opinion was given much more than one month after the ALJ’s decision or
the date last insured, the assessments being completed more than nine months after
the ALJ’s decision and twenty months after the date last insured.10 Instead, the primary
basis for this disagreement lies in the fact that Dr. Timberlake, as referenced by the
Appeals Council, gave no indication that the limitations he found on August 3, 2015
were present some twenty months earlier (or even nine months earlier), and, indeed, he
could have given no such indication inasmuch as a number of the diagnoses upon
which his medical source statement (for instance) was based (see Tr. 10 (checking
“yes” to the question “Are the limitations, to the degree checked above, normally
expected from the type and severity of the diagnoses in this case?”)) were not entered
in Timberlake’s records until August 3, 2015 (see Tr. 9 (entering in the record as
diagnoses, on August 3, 2015, inter alia, carpal tunnel syndrome and intervertebral disc
disorder with radiculopathy of lumbar region)); therefore, Dr. Timberlake’s August 3,

10

To be sure, these facts, in the undersigned’s opinion, establish the chronological
irrelevance of Dr. Timberlake’s August 3, 2015 evidence, as referenced in the decision of the
Appeals Council (see Tr. 2).

28

2015 assessments are not material, as referenced by the Appeals Council (Tr. 2),
because they do not create a reasonable possibility that they would change the
administrative outcome.11 Compare Putman, supra, at *12 (“[T]his report [from the
Anniston Medical Clinic from May 13, 2014] originated not only after the ALJ hearing
decision, but over a year after Plaintiff’s date last insured. Given both that the ALJ
already noted these impairments and the remoteness in time from Plaintiff’s date last
insured, this report does not create a reasonable possibility that it would change the
administrative outcome and is thus immaterial.”) with Matos, supra, at *5 (“Here, the
opinion is dated almost two years after the date last insured and there is no indication
from Dr. Reeves that the limitations he found in 2012 were present two years earlier.
Indeed, there is a dearth of evidence prior to the expiration of Plaintiff’s insured status
that could support these limitations. The only evidence Plaintiff cites is a November 29,
2010 x-ray which revealed moderate degenerative changes, soft tissue swelling and
ossified bodies along the medial joint []. There is no finding of the ‘significant subtalar
joint arthrosis’ present two years later.” (emphasis in original)).
Turning to the office notes generated between May 30, 2014 and June 1, 2015
by the Hale County Hospital Clinic—primarily Dr. Timberlake—the undersigned agrees
11

There is simply no medical evidence in this record dated prior to December 31,
2013 which would support the severe limitations noted by Dr. Timberlake on August 3, 2015.
(See Tr. 194 (November 9, 2012 physical examination by Dr. Robert Posey produced full range
of motion of the back, with no tenderness to palpation and a negative straight leg raise, and a
deformity to the right shoulder AC joint but with good range of motion); Tr. 217 (physical
examination by Dr. Perry Timberlake on May 3, 2013, revealed a normal shoulder exam and
that the right knee was slightly larger than the left but nontender); Tr. 245-46 (November 27,
2013 physical examination by Dr. Timberlake reflected a normal right shoulder, except for a
hard nodule on the top of the shoulder, and a normal right knee)). Indeed, these mild and
relatively innocuous physical findings, most of which were generated by Dr. Timberlake, while
fully consistent with the physical residual functional capacity assessment of the ALJ (see Tr.
22), are not consistent with the severe limitations noted by Dr. Timberlake (see Tr. 10).

29

with the Defendant’s implicit suggestion that Plaintiff’s June 13, 2017 motion to correct
the record (Doc. 33) should be denied because it was filed late (see Doc. 35, at 1-2),
certainly well after Plaintiff’s counsel was aware that these records were not part of the
administrative record (compare id. with, e.g., Doc. 18, at 7 (October 10, 2016 brief
makes reference to the office records but the records are not attached to the brief)).
Nevertheless, at the very least, the Court agrees with the Commissioner that the motion
is properly denied as moot, with no requirement for remand, because Plaintiff’s motion
contains no showing that the treatment records from Hale County Hospital Clinic are
material (see generally Doc. 35). In other words, the Plaintiff’s motion contains no
argument that these office records are “’relevant and probative so that there is a
reasonable possibility that [they] would change the administrative result.’” Ring, supra,
at *4, quoting Hyde v. Bowen, 823 F.2d 456, 459 (11th Cir. 1987).
The undersigned again makes clear that the only information that Plaintiff
attached to his motion to correct record that are not already a part of the administrative
record in this case are the office notes generated from four visits by Bell to the Hale
County Hospital Clinic from May 30, 2014 through June 1, 2015, some eight pages in
number (Doc. 33, Attached Medical Records, at 8-15), not the nine pages referenced in
the Defendant’s response (Doc. 35, at 2 & 4). The August 4, 2014 MRI of the right
shoulder (Doc. 33, Attached Medical Records, at 16) is a part of the administrative
transcript (Tr. 305) and was specifically reviewed by the ALJ in reaching his decision
(Tr. 26 & 27); therefore, while that MRI report is of tangential importance with respect to
some of the aforementioned office notes generated between May 30, 2014 and June 1,
2015, this Court obviously need not take up the materiality of the August 4, 2014 MRI

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report. Turning to the treatment records, the undersigned initially notes that on May 30,
2014, Bell presented to Dr. Timberlake complaining of a knot in his chest and physical
examination revealed a normal sternum (Doc. 33, Attached Medical Records, at 14);
this examination note is obviously not material, Plaintiff having made no claim that he is
entitled to benefits because of a knot in his chest (see, e.g., Doc. 17, at ¶ 7 (identifying
impairments as depressive disorder, degenerative changes in the knee, and shoulder
tendinosis)). The remaining office notes (Doc. 33, Attached Medical Records,at 8-13)
reflect the following: (1) on June 4, 2014, Bell presented to Dr. Timberlake with
complaints of chronic pain in the right shoulder and right knee; physical examination
revealed full range of motion and good strength in both shoulders, with Timberlake
referencing a plan to obtain an MRI of the “KNEE AND SHOULDER THROUGH GS”
(id. at 12-13); (2) on August 1, 2014, Bell presented to Dr. Timberlake for follow-up on
joint pain and though the office note contains nothing indicating that Timberlake
physically examined Plaintiff’s shoulders or knees, it does contain another notation to
send him to “GS FOR MRI OF RIGHT SHOULDER” (id. at 10); and (3) on June 1, 2015,
Bell presented to Dr. Deborah Carlisle complaining of back pain, with examination of the
back producing no C-spine, T-spine, or L-spine point tenderness and showing full range
of motion of the L-spine, with positive heel toe ambulation (id. at 8-9). There is nothing
about these absolutely negligible examination findings (id. at 8-13) that would change
the administrative result, particularly when it is recognized that the ALJ specifically
reviewed and considered in his administrative decision the knee and shoulder xrays/imaging referenced in Dr. Timberlake’s examination notes (compare id. with Tr. 2627 & 301-08); indeed, as recognized in an earlier portion of this decision, the results of

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the imaging of Plaintiff’s knees and right shoulder support the ALJ’s RFC assessment.
Thus, these office notes are not material because there is not a reasonable possibility
that the ALJ would have reached a different physical RFC assessment had he seen
Bell’s new evidence. See Beavers, supra, 601 Fed.Appx. at 823 (“The new evidence
also is not ‘material,’ in that there is not a ‘reasonable possibility’ the ALJ would have
made a ‘marked’ finding in one of the other five domains or made an ‘extreme’ finding in
any of the six domains had he seen Worthy’s new evidence.”); see also Mitchell, supra,
771 F.3d at 785 (noting that new evidence did not undermine the substantial evidence
supporting the ALJ’s decision). Accordingly, the Court simply MOOTS Plaintiff’s motion
to correct the record (Doc. 33) because none of the relevant medical information
attached to the motion is material and, therefore, no remand is warranted.
In light of the foregoing and because substantial evidence of record supports the
Commissioner’s determination that Bell can perform the physical and mental
requirements of a range of light work as identified by the ALJ and plaintiff makes no
argument that this residual functional capacity would preclude his performance of the
light jobs identified by the VE during the administrative hearing (compare Doc. 18 with
Tr. 60-62), the Commissioner’s fifth-step determination is due to be affirmed. See, e.g.,
Owens v. Commissioner of Social Security, 508 Fed.Appx. 881, 883 (11th Cir. Jan. 28,
2013) (“The final step asks whether there are significant numbers of jobs in the national
economy that the claimant can perform, given h[er] RFC, age, education, and work
experience. The Commissioner bears the burden at step five to show the existence of
such jobs . . . [and one] avenue[] by which the ALJ may determine [that] a claimant has
the ability to adjust to other work in the national economy . . . [is] by the use of a

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VE[.]”(internal citations omitted)); Land v. Commissioner of Social Security, 494
Fed.Appx. 47, 50 (11th Cir. Oct. 26, 2012) (“At step five . . . ‘the burden shifts to the
Commissioner to show the existence of other jobs in the national economy which, given
the claimant’s impairments, the claimant can perform.’ The ALJ may rely solely on the
testimony of a VE to meet this burden.” (internal citations omitted)).
CONCLUSION
It is ORDERED that the decision of the Commissioner of Social Security denying
Plaintiff benefits be affirmed.
DONE and ORDERED this the 30th day of June, 2017.
s/P. BRADLEY MURRAY
UNITED STATES MAGISTRATE JUDGE

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