Arrington v. Colvin et al
Filing
38
Magistrate Judge Judith G. Dein: ORDER entered. MEMORANDUM OF DECISION AND ORDER on Cross-Motions Regarding Denial of Social Security Disability Insurance Benefits. (Dambrosio, Jolyne)
UNITED STATES DISTRICT COURT
DISTRICT OF MASSACHUSETTS
MICHAEL D. ARRINGTON,
Plaintiff,
v.
CAROLYN W. COLVIN, Acting
Commissioner of the Social Security
Administration,
Defendant.
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CIVIL ACTION
NO. 15-10158-JGD
MEMORANDUM OF DECISION AND ORDER
ON CROSS-MOTIONS REGARDING DENIAL OF
SOCIAL SECURITY DISABILITY INSURANCE BENEFITS
November 3, 2016
DEIN, U.S.M.J.
I. INTRODUCTION
The plaintiff, Michael D. Arrington (“Arrington”), has brought this action pro se pursuant
to sections 205(g) and 1631(c)(3) of the Social Security Act, 42 U.S.C. §§ 405(g) and 1383(c)(3),
in order to challenge the final decision of the Commissioner of the Social Security
Administration (“Commissioner”) denying his claim for Social Security Disability Insurance
(“SSDI”) benefits. The matter is before the court on the “Plaintiff’s Motion for Order Reversing
or Remanding the Decision of the Commissioner” (Docket No. 24), by which the plaintiff is
seeking an order reversing the Commissioner’s decision and awarding him benefits or, in the
alternative, remanding the matter to the Social Security Administration for further
administrative proceedings. It is also before the court on the “Defendant’s Motion for Order
Affirming the Decision of the Commissioner” (Docket No. 31), by which the Commissioner is
seeking an order affirming her decision that the plaintiff was not disabled during the relevant
time period of March 11, 2007 through June 30, 2007, and was therefore not entitled to SSDI
benefits. At issue is whether the Administrative Law Judge (“ALJ”), in reaching his decision that
Arrington was not disabled, erred by failing to consider medical evidence created after the date
when the plaintiff was last insured, and by failing to analyze whether the plaintiff’s physical
impairments met or medically equaled certain of the impairments listed in 20 C.F.R. Part 404,
Subpart P, Appendix 1 of the Social Security regulations. Also at issue is whether the ALJ
committed reversible error in connection with his assessments of Arrington’s credibility and
residual functional capacity, and in connection with his determination that Arrington was
capable of performing jobs that existed in significant numbers in the national and regional
economies. In addition, Arrington challenges the Social Security Appeals Council’s denial of his
request for review of the ALJ’s decision on the grounds that the Appeals Council failed to credit
newly submitted medical evidence, and provided nothing more than “a boilerplate justification”
for its decision.
On appeal, “the court’s function is a narrow one limited to determining whether there is
substantial evidence to support the [Commissioner’s] findings and whether the decision
conformed to statutory requirements.” Geoffroy v. Sec’y of Health & Human Servs., 663 F.2d
315, 319 (1st Cir. 1981). The decision must be affirmed, “even if the record arguably could
justify a different conclusion, so long as it is supported by substantial evidence.” Rodriguez
Pagan v. Sec’y of Health & Human Servs., 819 F.2d 1, 3 (1st Cir. 1987). After a thorough review
of the Appeals Council’s decision, the ALJ’s decision and the underlying record in this case, this
2
court finds that the Commissioner’s denial of Arrington’s claim was supported by substantial
evidence and must be upheld. Therefore, and for all the reasons detailed below, the plaintiff’s
motion to reverse or remand is DENIED and the Commissioner’s motion to affirm is ALLOWED.
II. STATEMENT OF FACTS1
Arrington was born on February 4, 1960, and was 50 years old at the time he applied for
SSDI. (Tr. 312). He left high school after the eleventh grade, but was able to earn a GED and to
complete a couple of semesters at a junior college. (Tr. 54). During the time period from
October 1980 to February 1985, Arrington served in the United States Coast Guard. (Tr. 312,
1146). He subsequently held a variety of jobs, including jobs as a security guard for various
companies, a loss prevention specialist in a retail store, and a package delivery driver for United
Parcel Service. (Tr. 55-63, 378). Arrington has not engaged in any significant work activity since
October 2002. (Tr. 377). He claims that he has been disabled from working since March 10,
2007 as a result of degenerative disc disease in his back and arthritis in his left leg and knee.
(Tr. 373, 377).
The record indicates that Arrington has been suffering from knee pain since 1988, when
he twisted his left knee while working. (Tr. 1146). Although Arrington underwent arthroscopic
knee surgery following the 1988 incident, he sustained additional workplace injuries to his left
knee in 1994 and 1995. (Id.). As a result of those incidents, Arrington underwent a second
arthroscopic surgery and then a left ACL reconstruction. (Id.; Tr. 1464).
1
References to pages in the transcript of the record proceedings shall be cited as “Tr. __.” The ALJ’s
Decision shall be cited as “Dec.” and can be found beginning at Tr. 14.
3
Arrington did well for a couple of years following his ACL reconstruction surgery. (Tr.
1464). However, he subsequently developed chronic pain in his left knee, as well as feelings of
weakness and occasional buckling of the knee. (See Tr. 517, 526, 1455, 1464). Beginning in
2007, Arrington was treated with visco supplementation injections on numerous occasions, but
was unable to obtain long-term relief from his knee pain and underwent another arthroscopic
surgery in 2010. (See, e.g., Tr.555-56, 586-88, 621-23, 692-94, 1146, 1464). The medical
records show that this surgery was not helpful, and that he was given medication and a knee
brace to address his continuing complaints of pain. (Tr. 1464).
The plaintiff also has a history of chronic back pain, and testing has revealed moderate
degenerative disc disease in the lumbar spine. (Tr. 544, 742, 1540). According to the medical
records, Arrington has received medication to treat sciatica stemming from his back condition.
(Tr. 1540). However, his complaints have been focused primarily on his left knee condition.
Despite Arrington’s complaints of ongoing pain, none of the treating, examining or
consulting physicians have ever indicated that the plaintiff’s physical impairments render him
incapable of carrying out full time employment. On the contrary, one of Arrington’s orthopedic
surgeons, Gary J. Kelman, M.D., repeatedly authorized the plaintiff to return to “sedentary
work2 alternating with ambulatory status 1:1; no climbing, squatting, kneeling, bending, or
2
The Social Security regulations define “sedentary work” as follows: “Sedentary work involves lifting no
more than 10 pounds at a time and occasionally lifting or carrying articles like docket files, ledgers, and
small tools. Although a sedentary job is defined as one which involves sitting, a certain amount of
walking and standing is often necessary in carrying out job duties. Jobs are sedentary if walking and
standing are required occasionally and other sedentary criteria are met.” 20 C.F.R. § 404.1567(a). For
purposes of sedentary work, “periods of standing or walking should generally total no more than about
2 hours of an 8-hour workday, and sitting should generally total approximately 6 hours of an 8-hour
workday.” SSR 83-10, 1983 WL 31251, at *5 (S.S.A. Jan. 1, 1983).
4
stooping.” (See, e.g. Tr. 529, 540, 547, 556, 593, 1068). Similarly, in 2003, an independent
medical examiner found that Arrington remained capable of performing sedentary work, and in
2010, two separate State agency consultants determined that Arrington had the residual
functional capacity (“RFC”) to carry out sedentary work or a limited range of light work.3 (See
Tr. 724-31, 873, 918-25). Arrington disagrees with these assessments, and contends that he has
been disabled from working since 2007.
Procedural History
Arrington first sought Social Security benefits on December 31, 1997, when he filed an
application for Social Security Income benefits claiming a disability onset date of October 30,
1997. (Dec. 1; Tr. 14). The application was denied on March 17, 1998, and Arrington did not
appeal. (Id.). However, in January 2004, the plaintiff filed new applications for SSDI and
Supplemental Security Income (“SSI”) benefits. (Id.). In his applications, Arrington alleged that
he had been disabled from working since October 6, 2002 due to problems with his left knee
and left leg. See Arrington v. Soc. Sec. Admin., 358 Fed. Appx. 89, 91 (11th Cir. 2009). The
applications were denied initially and on reconsideration. Id. Arrington then requested and
was granted a hearing before an ALJ, which took place on November 28, 2006 in Miami, Florida.
(Tr. 131). On March 10, 2007, the ALJ issued a written decision denying Arrington’s claims for
3
The Social Security regulations define “light work” as follows: “Light work involves lifting no more than
20 pounds at a time with frequent lifting or carrying of objects weighing up to 10 pounds. Even though
the weight lifted may be very little, a job is in this category when it requires a good deal of walking or
standing, or when it involves sitting most of the time with some pushing and pulling of arm or leg
controls. To be considered capable of performing a full or wide range of light work, [the claimant] must
have the ability to do substantially all of these activities. If someone can do light work, we determine
that he or she can also do sedentary work, unless there are additional limiting factors such as loss of fine
dexterity or inability to sit for long periods of time.” 20 C.F.R. § 404.1567(b).
5
benefits. (Tr. 131-38). Therein, the ALJ found that Arrington had not been under a disability,
within the meaning of the Social Security Act, from October 6, 2002 through the date of her
decision. (Tr. 131-38).
Arrington requested a review of the Florida ALJ’s decision by the Social Security Appeals
Council, and on March 13, 2008, the Appeals Council notified the plaintiff that his request had
been denied. (Tr. 139-41). He then filed a civil action in the U.S. District Court for the District of
Florida. Arrington, 358 Fed. Appx. at 92. In a decision on the parties’ cross-motions for
summary judgment in that case, the District Court found that the ALJ’s denial of Arrington’s
claims for SSDI and SSI was supported by substantial evidence. Id. Therefore, it entered final
judgment in favor of the Commissioner. Id.
Arrington appealed the adverse ruling to the Eleventh Circuit Court of Appeals. See id.
at 91. On December 22, 2009, the Eleventh Circuit affirmed the District Court’s decision. Id. at
96. Thus, the Appeals Court determined that the ALJ’s findings were supported by substantial
evidence, and that Arrington was not under a disability from October 6, 2002 through the date
of the ALJ’s decision on March 10, 2007. See id. Arrington does not dispute that the Eleventh
Circuit’s decision precludes him from claiming disability at any time prior to March 11, 2007.
The plaintiff filed another application for SSDI benefits in June 2010, claiming that he
had been unable to work since March 10, 2007 due to his knee and back conditions. (Tr. 31215, 377). This application forms the basis of the claim that is presently before this court on
appeal.4 To qualify for SSDI benefits, an individual must become disabled during the period
4
Apparently, Arrington filed a new application for SSI benefits in June 2010 as well. (Tr. 43). However,
that application was denied immediately on the grounds that Arrington had too many resources to
qualify for the program. (Tr. 43-44). Arrington has not challenged the denial of his claim for SSI benefits
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under which he is insured by the program. See 20 C.F.R. 404.131; Fischer v. Colvin, 831 F.3d 31,
32 (1st Cir. 2016) (explaining that in order “to be eligible for benefits, [SSDI claimant] had to
demonstrate that her disability existed prior to her [date last insured]”). Because Arrington was
last insured on June 30, 2007, he had to establish that he was disabled during the time period
between March 11, 2007 and June 30, 2007. (See Dec. 3; Tr. 16, 111).
The plaintiff’s application was denied initially on August 18, 2010, and upon
reconsideration on October 28, 2010. (Tr. 106-07, 143-49). Subsequently, Arrington requested
a hearing before an ALJ. (Tr. 150-51). The request was granted and the hearing took place on
February 6, 2012 in Miami, Florida where the plaintiff was residing at the time. (Tr. 30-40; 17377). On February 21, 2012, the ALJ issued a decision in which he found that the plaintiff was
not disabled during the relevant time period. (Tr. 250-59). Accordingly, the ALJ denied
Arrington’s 2010 claim for SSDI. (Tr. 259). The plaintiff immediately filed a request for review
by the Social Security Appeals Council. (Tr. 233-35). This time, the Appeals Council granted
Arrington’s request for review, and determined that the ALJ had committed errors of law. (Tr.
124-27). Thus, on September 7, 2013, the Appeals Council vacated the ALJ’s decision and
remanded the matter back to the ALJ for a new hearing on Arrington’s SSDI claim. (Id.).
On December 26, 2013, Arrington moved from Florida to Boston. (Tr. 219).
Consequently, the new hearing took place in Massachusetts on June 10, 2014. (Tr. 41-105).
Arrington, who declined representation by an attorney or professional Social Security
representative, appeared and testified at the hearing. (Tr. 50, 53-99, 102-05). The ALJ also
or attempted to exhaust his administrative remedies with respect to that claim. (See Tr. 44). Therefore,
it is not before this court on appeal.
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elicited testimony from a vocational expert (“VE”), who described the plaintiff’s vocational
background based on his past work experience and responded to hypothetical questions, which
were aimed at determining whether jobs exist in the national and regional economies for an
individual with the same age, educational background, work experience and RFC as the plaintiff.
(Tr. 99-02). On July 22, 2014, the ALJ issued a decision denying Arrington’s claim for benefits.
(Tr. 11-28).
Arrington filed a request for review of the ALJ’s July 22, 2014 decision by the Social
Security Appeals Council. (Tr. 9-10). In connection with his request for review, Arrington
submitted a “Statement in Support of Appeal Council Review” setting forth his challenges to the
ALJ’s decision, as well as a letter from Patrick Barry, M.D. dated February 6, 1989, and a
document dated May 22, 2014 from the Department of Veterans Affairs. (See Tr. 2, 4, 29, 490504). On December 19, 2014, the Appeals Council notified the plaintiff that it had considered
his arguments and the materials he had submitted, but that they did not provide a basis for
changing the ALJ’s decision. (Tr. 1-2). Accordingly, the Appeals Council denied Arrington’s
request for review. (Tr. 1). As described below, Arrington challenges the adequacy of the
Appeals Council’s decision, and argues that it should have provided a more detailed justification
for its determination. However, this court finds that the Appeals Council had no such
obligation, and that the plaintiff’s challenge to the Appeals Council’s decision lacks merit.
Because the Appeals Council “found no reason under [its] rules to review the [ALJ’s]
decision[,]” the ALJ’s July 22, 2014 decision constituted the final decision of the Commissioner
with respect to Arrington’s claim. (Tr. 1). Accordingly, Arrington has exhausted all of his
administrative remedies, and the matter is ripe for review pursuant to 42 U.S.C. § 405(g).
8
The ALJ’s Decision
A claimant is not entitled to SSDI benefits unless he is “disabled” within the meaning of
the Social Security Act, which defines “disability” as the “inability to engage in any substantial
gainful activity by reason of any medically determinable physical or mental impairment which
can be expected to result in death or which has lasted or can be expected to last for a
continuous period of not less than 12 months[.]” 42 U.S.C. § 423(d)(1)(A). In the instant case,
the ALJ concluded that Arrington “was not under a disability, as defined in the Social Security
Act, at any time from March 11, 2007, the earliest allowable onset date, through June 30, 2007,
the date last insured.” (Dec. Finding #11; Tr. 28 (citation omitted)). There is no dispute that the
ALJ, in reaching his decision that Arrington was not disabled, performed the five-step sequential
evaluation required by 20 C.F.R. § 404.1520. The procedure resulted in the following analysis,
which is detailed further in the ALJ’s “Findings of Fact and Conclusions of Law.” (See Dec. 5-15;
Tr. 18-28).
The first inquiry in the five-step evaluation process is whether the claimant is “engaged
in substantial gainful work activity[.]” Seavey v. Barnhart, 276 F.3d 1, 5 (1st Cir. 2001). If so, the
claimant is automatically considered not disabled and the application for benefits is denied.
See id. In this case, the ALJ found that Arrington did not engage in such activity during the
relevant time period. (Dec. Finding #2; Tr. 18). Therefore, he proceeded to the second step in
the sequential analysis.
The second inquiry is whether the claimant has a “severe impairment,” meaning an
“impairment or combination of impairments which significantly limits [the claimant’s] physical
or mental ability to do basic work activities[.]” 20 C.F.R. § 404.1520(c). If not, the claimant is
9
deemed not to be disabled and the application for benefits is denied. See Seavey, 276 F.3d at
5. Here, the ALJ determined that Arrington suffered from the following severe impairments
during the period from March 11, 2007 through June 30, 2007:
left knee pain status post arthroscopy (1988), status post arthroscopy
with resection of partial ACL tear and partial medial meniscectomy
(1994), and status post arthroscopy with bone graft reconstruction of ACL
(1995); low back pain due to mild spondylosis with moderate degenerative disc disease at L5-S1 (per MRI in May 2006).
(Dec. Finding #3; Tr. 18 (citation omitted)). While the ALJ acknowledged Arrington’s allegation
that he had also been suffering from a mental impairment since 2007, the ALJ found that there
was no objective evidence to support such a claim. (Dec. 6; Tr. 19). Accordingly, the ALJ found
that the plaintiff had not established the presence of a severe mental impairment on or before
the date last insured. (See Dec. 5-6; Tr. 18-19).
Because the ALJ determined that Arrington had impairments that were severe, he
proceeded to step three in the sequential analysis. The third inquiry is whether the claimant
has an impairment equivalent to a specific list of impairments contained in Appendix 1 of the
Social Security regulations. See Seavey, 276 F. 3d at 5; 20 C.F.R. § 404.1520(d). At this step, the
ALJ concluded that Arrington’s impairments, either alone or in combination, did not meet or
medically equal any of the listed impairments. The parties dispute whether this finding was
supported by substantial evidence.
In connection with his finding at step three, the ALJ considered whether Arrington’s
impairments met or equaled Listing 1.02 regarding major dysfunction of a joint, or Listing 1.04
concerning spinal impairments. (Dec. 6; Tr. 19). The ALJ explained that none of the treating or
examining physicians had presented findings that were equivalent in severity to these or any
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other listed impairment. (Id.). He further stated that he had considered the opinions of the
State agency consultants who had evaluated this issue at the initial and reconsideration levels
of the administrative review process and had determined that Arrington’s impairments did not
meet or medically equal any of the listed impairments. (Id.). As described below, this court
finds that there is substantial support for the ALJ’s decision on this issue.
After finding that Arrington’s impairments did not meet or medically equal any of the
listed impairments, the ALJ proceeded to step four in his analysis. The fourth inquiry asks
whether “the applicant’s ‘residual functional capacity’ is such that he or she can still perform
past relevant work[.]” Seavey, 276 F.3d at 5. Thus, in order to answer this question, the ALJ
must first determine the claimant’s RFC. In the instant case, the ALJ assessed Arrington’s RFC as
follows:
After careful consideration of the entire record, I find that, through the
date last insured, the claimant had the residual functional capacity to lift
and/or carry 20 pounds occasionally and 10 pounds frequently. He was
able to stand and/or walk for 2 hours over an 8-hour workday. He was
able to sit for 6 hours over an 8-hour workday. He could occasionally
climb, balance, stoop, kneel, crouch or crawl. He needed to avoid
concentrated exposure to extreme cold, humidity, vibration and hazards.
(Dec. Finding #5; Tr. 19). Arrington argues that this finding was erroneous because the ALJ did
not properly evaluate the credibility of Arrington’s statements regarding the nature and extent
of his pain and other symptoms, and because the ALJ adopted the opinion of a State agency
consultant who did not have an opportunity to review the full medical record instead of
adopting the opinions of Arrington’s treating physicians. As explained in detail below, this court
finds that the ALJ’s decision on these matters was appropriate and does not warrant reversal or
a remand to the Social Security Administration.
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In reaching his conclusion regarding Arrington’s RFC, the ALJ followed well-established
procedures. Thus, the ALJ first considered the plaintiff’s symptoms and the extent to which
those symptoms were consistent with the objective medical evidence and other evidence of
record. (Dec. 6-12; Tr. 19-25). Because the ALJ determined that Arrington’s medically determinable impairments could reasonably be expected to cause the plaintiff’s alleged symptoms,
he went on to determine whether the plaintiff’s subjective statements about his pain and other
symptoms were credible in light of the record as a whole. (Dec. 12-13; Tr. 25-26). Accordingly,
the ALJ considered the plaintiff’s testimony at the hearing, the objective medical evidence and
the available opinion evidence. (See Dec. 12-13; Tr. 25-26). The ALJ concluded that in this case,
“the claimant’s statements concerning the intensity, persistence and limiting effects of [his]
symptoms are not entirely credible[,]” to the extent Arrington testified to greater limitations
than those determined by the ALJ in his assessment of the plaintiff’s RFC. (Dec. 12; Tr. 25).
After explaining the basis for his RFC determination, including the basis for his
assessment of Arrington’s credibility, the ALJ concluded that Arrington was unable to perform
his past relevant work as a loss prevention security guard or a driver for United Parcel Service.
(Dec. 13; Tr. 26). Consequently, he reached the fifth and last step in the sequential analysis.
The fifth inquiry is whether, given the claimant’s RFC, education, work experience and
age, the claimant is capable of performing other work. See Seavey, 276 F.3d at 5; 20 C.F.R.
§ 404.1520(a)(4)(v). If so, the claimant is not disabled. Id. At step five, the Commissioner has
the burden “of coming forward with evidence of specific jobs in the national economy that the
applicant can still perform.” Seavey, 276 F.3d at 5. Here, the ALJ relied on the VE’s testimony
to conclude that Arrington was capable of performing jobs that exist in significant numbers in
12
the national economy, including the unskilled, sedentary jobs of a surveillance system monitor,
a food order clerk and a circuit board inspector. (Dec. 14-15; Tr. 27-28). Therefore, the ALJ
found that Arrington was not disabled under the Social Security Act on or before his date last
insured. (Dec. 15; Tr. 28). Arrington challenges the ALJ’s reliance on the VE’s testimony, as well
as his conclusion that the plaintiff could perform other work. For the reasons discussed below,
this court finds that Arrington’s challenge to the ALJ’s finding at step five of the disability
analysis is insufficient to warrant relief in his favor, and that the Commissioner’s decision to
deny his claim for SSDI benefits must be affirmed.
Additional factual details relevant to this court’s analysis are described below where
appropriate.
III. ANALYSIS
A.
Standard of Review
In this action, Arrington is seeking judicial review of the Commissioner’s “final decision”
pursuant to the Social Security Act § 205(g), 42 U.S.C. § 405(g) (the “Act”). The Act provides in
relevant part as follows:
Any individual, after any final decision of the Commissioner of Social
Security made after a hearing to which he was a party, irrespective of the
amount in controversy, may obtain a review of such decision by a civil
action …. The court shall have power to enter, upon the pleadings and
transcript of the record, a judgment affirming, modifying, or reversing the
decision of the Commissioner of Social Security, with or without
remanding the cause for a rehearing. The findings of the Commissioner
of Social Security as to any fact, if supported by substantial evidence, shall
be conclusive ….
42 U.S.C. § 405(g) (emphasis added). The Supreme Court has defined “substantial evidence” to
mean “more than a mere scintilla. It means such relevant evidence as a reasonable mind might
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accept as adequate to support a conclusion.” Richardson v. Perales, 402 U.S. 389, 401, 91 S. Ct.
1420, 1427, 28 L. Ed. 2d 842 (1971) (quoting Consol. Edison Co. v. NLRB, 305 U.S. 197, 229, 59 S.
Ct. 206, 217, 83 L. Ed. 126 (1938)); accord Irlanda Ortiz v. Sec’y of Health & Human Servs., 955
F.2d 765, 769 (1st Cir. 1991).
As the First Circuit has explained:
In reviewing the record for substantial evidence, we are to keep in mind
that “issues of credibility and the drawing of permissible inference from
evidentiary facts are the prime responsibility of the [Commissioner].”
The [Commissioner] may (and, under [her] regulations, must) take
medical evidence. But the resolution of conflicts in the evidence and the
determination of the ultimate question of disability is for [her], not for
the doctors or for the courts. We must uphold the [Commissioner’s]
findings in this case if a reasonable mind, reviewing the record as a
whole, could accept it as adequate to support [her] conclusion.
Lizotte v. Sec’y of Health & Human Servs., 654 F.2d 127, 128 (1st Cir. 1981) (quoting Rodriguez
v. Sec’y of Health & Human Servs., 647 F.2d 218, 222 (1st Cir. 1981)). Therefore, “the court’s
function is a narrow one limited to determining whether there is substantial evidence to
support the [Commissioner’s] findings and whether the decision conformed to statutory
requirements.” Geoffroy, 663 F.2d at 319. The Commissioner’s decision must be affirmed,
“even if the record arguably could justify a different conclusion, so long as it is supported by
substantial evidence.” Rodriguez Pagan, 819 F.2d at 3.
“Even in the presence of substantial evidence, however, the Court may review conclusions of law, and invalidate findings of fact that are ‘derived by ignoring evidence, misapplying
the law, or judging matters entrusted to experts.’” Musto v. Halter, 135 F. Supp. 2d 220, 225
(D. Mass. 2001) (quoting Nguyen v. Chater, 172 F.3d 31, 35 (1st Cir. 1999) (per curiam)) (internal citations omitted). “Thus, if the ALJ made a legal or factual error, the court may reverse or
14
remand such decision to consider new, material evidence or to apply the correct legal
standard.” Ross v. Astrue, C.A. No. 09-11392-DJC, 2011 WL 2110217, at *2 (D. Mass. May 26,
2011) (internal citation omitted).
B.
Plaintiff’s Challenge to the Appeals Council’s Decision
Arrington first takes issue with the Appeals Council’s December 19, 2014 decision to
deny his request for review of the ALJ’s decision denying his claim for SSDI benefits. (Pl. Mem.
(Docket No. 25) at 7-11). Specifically, Arrington contends that the Appeals Council erred by
offering nothing more “than a boilerplate justification” for its decision despite acknowledging
that it was considering additional evidence. (See id. at 8, 10-11). He further argues that the
Appeals Council’s failure to find a basis for changing the ALJ’s decision in the newly submitted
material, as well as its failure to find fault with the ALJ’s handling of medical evidence
generated after the date last insured, amounted to an egregious error or a mistake of law. (Id.
at 9-10, 15). This court finds that the plaintiff’ challenge to the Appeals Council’s decision is
without merit.
Appeals Council’s Failure to Provide a Detailed Basis for its Decision
In connection with its decision to deny Arrington’s request for review of the ALJ’s
decision, the Appeals Council explained that it had considered the arguments set forth in the
plaintiff’s “Statement in Support of Appeal Council Review,” but determined that those
arguments provided no basis for changing the ALJ’s decision. (See Tr. 2, 4, 490-504). It further
explained that it had considered the following evidence that Arrington had submitted to the
Appeals Council along with his request for review:
We looked at evidence from Patrick Barry, M.D., and the Boston [VA
Medical Center], dated February 6, 1989 and May 22, 2014. We found
15
this information does not show a reasonable probability that, either
alone or when considered with the other evidence of record, would
change the outcome of the [ALJ’s] decision.
We also looked at evidence from Boston VAMC dated May 22, 2014.
However, this document is an exact copy of Exhibit 37F, page 24.
(Tr. 2 (citation omitted)). This court finds that the Appeals Council’s failure to offer a more
detailed explanation for its decision was not erroneous.
As the First Circuit explained in Mills v. Apfel, 244 F.3d 1 (1st Cir. 2001), “the Appeals
Council need not and often does not give reasons” for denying a request for review. Mills, 244
F.3d at 5. Consequently, “an Appeals Council denial of review, without a stated reason, is
effectively unreviewable.” Robbins v. Astrue, Civil No. 09-cv-343-JD, 2010 WL 3168306, at *3
(D.N.H. Aug. 9, 2010). Because the Appeals Council had no obligation to articulate its reasons
for denying the plaintiff’s request for review in this case, the plaintiff’s characterization of its
decision as “boilerplate” provides no basis for relief in his favor.
Failure to Establish Egregious Error or Mistake of Law
The plaintiff’s assertion that the Appeals Council committed an egregious error or
mistake of law is similarly unconvincing. “Generally, the discretionary decision of the [Appeals
Council] to deny a request for review of an ALJ’s decision is not reviewable as the ‘reversible
error by an ALJ can be remedied by the Court regardless of what the Appeals Council did or did
not do.’” Moore v. Astrue, Civil Action No. 11-cv-11936-DJC, 2013 WL 812486, at *14 (D. Mass.
Mar. 2, 2013) (quoting Marmol v. Astrue, No. 07-CV-297-S, 2008 WL 2831256, at *9 (D.R.I. July
22, 2008)). Nevertheless, the First Circuit has held that an Appeals Council decision may be
reviewable “where new evidence is tendered after the ALJ decision.” Mills, 244 F.3d at 5. In
such circumstances, the Appeals Council’s refusal to review the ALJ “may be reviewable [by the
16
court] to the extent that it rests on an explicit mistake of law or other egregious error.” Id.
However, “[t]his avenue of review has been described as ‘exceedingly narrow.’” Kirby v.
Astrue, No. C.A. 07-422A, 2008 WL 2787926, at *10 (D.R.I. July 17, 2008) (quoting Harrison v.
Barnhart, C.A. No. 06-30005-KPN, 2006 WL 3898287, at *2 (D. Mass. Dec. 22, 2006)). Thus, a
claimant can only prevail on a challenge to such a decision if he can show “that the Appeals
Council was ‘egregiously mistaken’ in its decision to deny [the] Plaintiff’s request for review”
after receiving the new evidence. Id. at *11.
In the instant case, Arrington contends that the Appeals Council committed an
egregious error when it determined that the evidence he submitted directly to the Appeals
Council provided no basis for changing the ALJ’s decision. (Pl. Mem. at 9-10). However, the
record does not support the plaintiff’s assertion. As an initial matter, Arrington does not
dispute the Appeals Council’s description of the evidence from the Boston VAMC dated May 22,
2014 as “an exact copy” of an exhibit that was contained in the record before the ALJ. (See Tr.
2). Accordingly, Arrington cannot show that the Appeals Counsel was mistaken, much less
egregiously so, when it determined that “this information does not show a reasonable
probability that, either alone or when considered with the other evidence of record, would
change the outcome of the [ALJ’s] decision.” (Tr. 2 (citation omitted)). See Moore, 2013 WL
812486, at *13-14 (finding no egregious error where new evidence submitted to Appeals
Council was cumulative of evidence before the ALJ). The remaining piece of evidence also
provides no support for the plaintiff’s position. That evidence consists of a letter from Patrick
Barry, M.D. dated February 6, 1989. (See Tr. 29). Therein, Dr. Barry described the status of
Arrington’s medical condition as of early February 1989, more than 18 years prior to the alleged
17
onset of his disability and more than 13 years before Arrington stopped working. (Id.). In his
letter, Dr. Barry stated in significant part:
[Arrington] is doing surprisingly well, despite the extent of [his] impairment, and is symptom free. He has good strength, good mobility, with
no loss of motion, and you can barely detect on the examination that his
anterior cruciate ligament is out. I have put no restrictions on him.
(Tr. 29). Thus, the letter supports the Appeals Council’s decision to deny Arrington’s request for
review.
Alleged Failure to Credit More Recent Medical Evidence
The plaintiff also urges the court to reverse the Appeals Council’s decision based on the
ALJ’s alleged failure to give “retrospective consideration” to medical evidence that was created
after the date when he was last insured. (Pl. Mem. at 15). Although Arrington raises this claim
as part of his challenge to the Appeals Council’s decision, it is, in fact, directed at the ALJ’s
actions and is unrelated to any new evidence that was presented to the Appeals Council.
Arrington has not cited any authority that would render the Appeals Council’s decision
reviewable on these grounds. See Mills, 244 F.3d at 5-6 (explaining that review of an Appeals
Council decision makes sense where new evidence is submitted after the ALJ has issued a
decision, but that “[i]n most other situations, a mistake by the ALJ that is otherwise correctable
by a court can be addressed on judicial review regardless of any denial of review by the Appeals
Council”). Therefore, he has not shown that he is entitled to relief on this basis.
In any event, the record does not support the plaintiff’s claim. Rather, the record
establishes that the ALJ did consider all of the evidence of record, including evidence that was
created after June 30, 2007, the date last insured. For example, but without limitation, at step
two in his disability analysis, the ALJ cited medical records from 2007 through 2014. (Dec. 5-6;
18
Tr. 18-19). He also stated that he had considered “the entire record” in assessing the plaintiff’s
RFC, and he described the substance of the medical evidence spanning the time period from
February 1994 through November 29, 2011, more than 4 years after the expiration of
Arrington’s insured status. (Dec. 6-12; Tr. 19-25). Where, as in this case, the time period at
issue is narrow, “an ALJ may use evidence from the surrounding time periods to draw
conclusions regarding the relevant time period.” Resendes v. Astrue, 780 F. Supp. 2d 125, 140
(D. Mass. 2011). Because the record establishes that the ALJ reviewed the evidence from the
surrounding time periods, and did not fail to consider medical evidence that was generated
after the date last insured, Arrington has not shown that he is entitled to reversal or a remand
to the Social Security Administration on this claim.
C.
Plaintiff’s Challenge to the ALJ’s Decision
The plaintiff has also raised several challenges to the ALJ’s analysis. As detailed herein,
this court finds that the ALJ’s decision was supported by substantial evidence and must be
upheld.
1.
Absence of a Listed Impairment
The plaintiff argues that the Commissioner’s decision must be reversed because the ALJ
failed to evaluate the evidence in order to determine whether Arrington met or medically
equaled Listing 1.02 entitled “Major dysfunction of a joint(s)” or Listing 1.04 entitled “Disorders
of the spine.” (Pl. Mem. at 15-23). At step three in his analysis, the ALJ explained that he had
considered whether Arrington met or medically equaled these Listings, but had found that the
plaintiff was not disabled per se under the relevant criteria. Specifically, as the ALJ stated in his
decision:
19
I have considered whether the claimant meets or equals listing 1.02
regarding major dysfunction of a joint, or listing 1.04, regarding spinal
impairments. However, no treating or examining physician has proffered
findings that are equivalent in severity to the criteria of these or any
other listed impairment. In reaching this conclusion, I have considered
the opinions of the state agency medical consultants who evaluated this
issue at the initial and reconsideration levels of the administrative review
process and reached the same conclusion.
(Dec. 6; Tr. 19 (citations omitted)). Nevertheless, Arrington contends that “the ALJ erred by
failing to analyze Claimant’s physical condition in relation to the Listed Impairments.” (Pl.
Mem. at 18). For the reasons that follow, this court finds that no error occurred, and that the
ALJ’s finding at this stage of the analysis was supported by substantial evidence in the record.
At step three, “it is the claimant’s burden to show that he has an impairment or
impairments which meets or equals a listed impairment in Appendix 1” of the Social Security
regulations. Torres v. Sec’y of Health & Human Servs., 870 F.2d 742, 745 (1st Cir. 1989). If the
claimant makes such a showing, “the Social Security Administration will find the claimant
disabled, without regard to the claimant’s age, education, or work experience.” Arrington, 358
Fed. Appx. at 93. “An impairment meets the listings only when it manifests the specific findings
described in the set of medical criteria for a particular listed impairment.” Martinez Nater v.
Sec’y of Health & Human Servs., 933 F.2d 76, 77 (1991) (quotations and citation omitted). “An
impairment equals a listed impairment when the set of symptoms, signs and laboratory findings
in the medical evidence supporting the claimant are at least equivalent in severity to the set of
medical findings for the listed impairment.” Id. (quotations and citation omitted).
“Courts differ in the extent to which at step three the ALJ must discuss whether the
claimant’s severe conditions medically equaled a listing[.]” Medina-Augusto v. Comm’r of Soc.
Sec., Civil No. 14-1431 (BJM), 2016 WL 782013, at *8 (D.P.R. Feb. 29, 2016) (slip op.). The First
20
Circuit appears not to have addressed this issue, and the courts in this district have not yet
reached a consensus. Compare Arsenault v. Astrue, 937 F. Supp.2d 187, 189 (D. Mass. 2013)
(remanding case so that ALJ could evaluate the evidence, compare it to the relevant Listing, and
provide an explanation for his conclusion at step three) with Rivera v.Barnhart, No. Civ. A. 0430131-KPN, 2005 WL 670538, at *5 (D. Mass. Mar. 14, 2005) (“the failure – if failure it is – to
make specific findings as to whether a claimant’s impairment meets the requirements of a
listed impairment is an insufficient reason in and of itself for setting aside an administrative
finding”). Nevertheless, the First Circuit has held that “a remand is not essential if it will
amount to no more than an empty exercise.” Ward v. Comm’r of Soc. Sec., 211 F.3d 652, 656
(1st Cir. 2000). Because this court concludes that a remand for further explanation or analysis
at step three would amount to nothing more than an empty exercise, Arrington has not shown
that the ALJ’s failure to compare his impairments to Listings 1.02 and 1.04 constitutes grounds
for a ruling in his favor.
Listing 1.02 Regarding Major Dysfunction of a Joint
Listing 1.02 provides:
Major dysfunction of a joint(s) (due to any cause): Characterized by gross
anatomical deformity (e.g., subluxation, contracture, bony or fibrous
ankylosis, instability) and chronic joint pain and stiffness with signs of
limitation of motion or other abnormal motion of the affected joint(s),
and findings on appropriate medically acceptable imaging of joint space
narrowing, bony destruction, or ankylosis of the affected joint(s). With:
A. Involvement of one major peripheral weight-bearing joint (i.e., hip,
knee, or ankle), resulting in inability to ambulate effectively, as defined in
1.00B2b;
or
21
B. Involvement of one major peripheral joint in each upper extremity
(i.e., shoulder, elbow, or wrist-hand), resulting in inability to perform fine
and gross movements effectively, as defined in 1.00B2c.
20 C.F.R. Pt. 404, Subpt. P, App. 1 § 1.02 (emphasis added). Therefore, in order to meet the
criteria of Listing 1.02, the evidence must show that the claimant is incapable of ambulating
effectively or is incapable of performing fine and gross movements effectively.
Having the “inability to ambulate effectively” is further defined in 1.00B2b as “having
insufficient lower extremity functioning . . . to permit independent ambulation without the use
of a hand-held assistive device(s) . . . .” 20 C.F.R. Pt. 404, Subpt. P, App. 1 § 1.00(B)(2)(b). Here,
there is no evidence that Arrington needed an assistive device at any time during the relevant
time period. In fact, Arrington’s medical records from July 9, 2007, just nine days after the date
last insured, show that the plaintiff was able to walk “with a slight left antalgic gait[,]” could
“arise on his heels and toes without difficulty[,] and could “semi-squat and arise with left knee
pain and a feeling of weakness in the left lower extremity.” (Tr. 546).
Moreover, there is no evidence in the instant case that Arrington’s impairments
impacted his upper extremities or resulted in limitations on his ability to perform fine and gross
movements during the relevant time period. On the contrary, Arrington’s medical records
show that the plaintiff had no limitations with respect to his ability to use his hands, and that he
had normal sensation, reflexes, coordination and motor ability in his bilateral upper
extremities. (See, e.g., Tr. 537, 579). Therefore, Arrington has not met his burden of proving an
impairment that met listing 1.02.
Arrington’s objection must fail for the additional reason that two State agency consultants opined that during the relevant time period, Arrington retained the capacity to perform
22
sedentary work or a limited rage of light work. (See Tr. 724-31, 918-25). One of those
consultants, Minal Krishnamurthy, M.D., is a physician who signed the Disability Determination
and Transmittal form denying Arrington’s claim upon reconsideration. (Tr. 107). The ALJ relied
on Dr. Krishnamurthy’s opinions to support his determination that Arrington’s impairments did
not meet or medically equal the severity of a listed impairment. (Dec. 6; Tr. 19). Under the
applicable case law, he was entitled to do so. See Scheck v. Barnhart, 357 F.3d 697, 700 (7th
Cir. 2004) (Disability Determination and Transmittal forms completed by state agency
physicians who determined that claimant was not disabled at the initial and reconsideration
levels of review provided substantial evidence for ALJ’s determination that claimant’s back
condition was not equivalent to a listed impairment); Albidreez v. Astrue, 504 F. Supp. 2d 814,
820 (C.D. Cal. 2007) (finding that “the signed written opinions of the state agency physicians
provide[d] a sufficient basis for the ALJ’s equivalence determination,” and that substantial
evidence supported ALJ’s finding that plaintiff did not meet or equal a listed impairment
(quotations, punctuation and citation omitted)); Scarafone v. Colvin, Civil Action No. 13-10477RWZ, 2015 WL 71490, at *4 (D. Mass. Jan. 6, 2015) (finding that opinion of state agency medical
consultants, who evaluated whether plaintiff’s impairments met or medically equaled a Listing
at the initial and reconsideration levels of the administrative review process, provided
substantial evidence for ALJ’s finding at step three).
The plaintiff has highlighted portions of the medical record in an effort to show that his
left knee condition meets or medically equals Listing 1.02. (See Pl. Mem. at 19-23). However,
none of the cited evidence is sufficient to undermine the ALJ’s finding on this issue. First of all,
none of the cited evidence pertains to the relevant time period of March 11, 2007 through June
23
30, 2007. (Id.). Nor does it pertain to any surrounding time periods or purport to shed light on
the status of the plaintiff’s knee condition as of his date last insured. (Id.). Secondly, none of
the evidence on which Arrington relies indicates that he required an assistive device or otherwise addresses his ability to ambulate effectively, and none of the evidence suggests that his
physicians considered him to be disabled from working as a result of his knee impairment. (See
id.). Therefore, this court concludes that the ALJ’s finding with respect to Listing 1.02 must be
upheld on appeal.
Listing 1.04 Regarding Disorders of the Spine
In order to be considered presumptively disabled under Listing 1.04 pertaining to
disorders of the spine, the claimant must present evidence of “nerve root compression, spinal
arachnoiditis, or lumbar spinal stenosis.” Arrington, 358 Fed. Appx. at 94. Arrington has not
pointed to any evidence showing that he was suffering from any of these conditions prior to his
date last insured, and records from surrounding time periods do not indicate the presence of
nerve root compression, arachnoiditis or lumbar spinal stenosis. (See Pl. Mem. at 19-22). For
instance, a Radiology Report dated May 26, 2006 revealed only “[m]oderate degenerative disc
disease present at L5/S1 associated with mild spondylosis and mild degenerative changes of the
apophyseal joints.” (Tr. 544). Similarly, a nursing outpatient note dated April 12, 2007
indicated that Arrington had been complaining of sharp low back pain for over a month, but
had been taking “Ibuprofen for the pain with relief.” (Tr. 827-28). This conclusion is further
supported by Dr. Krishnamurthy’s assessment, upon reconsideration, that Arrington was not
disabled per se. (See Tr. 107). Accordingly, the ALJ’s determination that the plaintiff did not
meet or medically equal Listing 1.04 is entitled to deference. See Arrington, 358 Fed. Appx. at
24
94-95 (holding that ALJ properly found that Arrington’s impairments did not meet or medically
equal the Listing for disorders of the spine where Arrington failed to point to evidence showing
“that he had nerve root compression, spinal arachnoiditis, or lumbar spinal stenosis,” and
medical evidence predating alleged onset of disability did not suggest otherwise); Perez v.
Astrue, Civil Action No. 11-30074-KPN, 2011 WL 6132547, at *3 (D. Mass. Dec. 7, 2011)
(plaintiff’s failure to point to evidence in the record indicating that his impairments met listing
level severity was fatal to his claim that the ALJ erred at step three in the disability analysis).
2.
Adequacy of the ALJ’s Credibility Assessment
The plaintiff’s next challenge to the ALJ’s decision concerns the ALJ’s finding regarding
Arrington’s credibility. In connection with his RFC assessment, the ALJ considered the plaintiff’s
hearing testimony, including his claim that he was unable to work due to chronic left knee and
lower back pain. (Dec. 12; Tr. 25). Although the ALJ found that Arrington’s impairments “could
reasonably be expected to cause the alleged symptoms[,]” he determined that “the claimant’s
statements concerning the intensity, persistence and limiting effects of these symptoms [were]
not entirely credible for the reasons explained in [his] decision.” (Id.). The plaintiff argues that
this finding was not based on substantial evidence because the ALJ failed to cite any medical
authority for his conclusion, his assessment was inconsistent with certain evidence in the
record, the ALJ failed to mention how he applied the so-called “Avery factors,” and the ALJ
failed to adequately consider the plaintiff’s activities of daily living. (Pl. Mem. at 23-29).
Generally, “[t]he credibility determination by the ALJ, who observed the claimant, evaluated his
demeanor, and considered how that testimony fit in with the rest of the evidence, is entitled to
deference, especially when supported by specific findings.” Frustaglia v. Sec’y of Health &
25
Human Servs., 829 F.2d 192, 195 (1st Cir. 1987). This court finds that there is substantial
evidence to support the ALJ’s credibility determination in this case.
The ALJ’s Decision
The ALJ determined that Arrington’s testimony regarding his physical limitations was not
credible to the extent the plaintiff testified to greater limitations than those described by the
ALJ in his assessment of Arrington’s physical RFC. (Dec. 13; Tr. 26). As the ALJ reasoned in his
decision:
First, such limitations are inconsistent with the medical record for the
period on or before the date last insured, June 30, 2007. The claimant
did have significant limitations resulting from his left knee impairment,
but only mild to moderate degenerative disc disease. (Exhibit 4F). On
July 9, 2007, the claimant ambulated with a slight left antalgic gait. He
could arise on his heels and toes without difficulty and semi-squat and
arise with left knee pain and a feeling of weakness in the left lower
extremity. The claimant could actively straight-leg raise without extensor
lag. There was no instability to anterior/posterior or varus/valgus manual
stress testing. Based upon this examination, Dr. Kelman advised the
claimant that he could work with restrictions of sedentary work
alternating with ambulatory status 1:1; no climbing, squatting, kneeling,
bending, or stooping. (Exhibits 4F, 8F).
(Id.). The ALJ further noted that Arrington had provided extensive records of his medical
treatment, but that the majority of those records reflected treatment after 2010. (Id.). Thus,
the ALJ concluded that the plaintiff “has not provided any objective medical evidence to
support a finding that he was unable to perform sedentary work activities as of his date last
insured.” (Id.).
Arrington’s Challenges to the Credibility Assessment
The plaintiff first asserts that the ALJ’s decision was erroneous because he cited no
medical authority in support of his assessment. However, this argument reflects an inaccurate
26
reading of the record. As indicated in his explanation for his credibility assessment, the ALJ
relied on the May 26, 2006 Radiology Report describing x-rays of Arrington’s lumbosacral spine
to support his conclusion that the plaintiff had no more than moderate degenerative disc
disease prior to his date last insured. (See Tr. 544). He also relied on Dr. Kelman’s report of
Arrington’s office visit on July 9, 2007 to determine that Arrington retained the capacity to
perform sedentary work during the relevant time period, and that his claims of disabling left
knee and lower back pain were inconsistent with the medical records. (See Tr. 546-47, 927-28).
To the extent Arrington contends that the record contains conflicting evidence
regarding the extent of his physical limitations, that argument too is insufficient to undermine
the ALJ’s credibility determination. It is the responsibility of the ALJ, and not the court, “to find
facts, decide issues of credibility, draw inferences from the record, and resolve conflicts of
evidence.” Teague v. Colvin, 151 F. Supp. 3d 223, 226 (D. Mass. 2015). Moreover, in this case,
no medical source opined that Arrington was incapable of working during the time period from
March 11, 2007 through the date last insured, and the plaintiff has not challenged the ALJ’s
finding that all of the available medical source opinions “are consistent in regards to the
claimant being limited to sedentary work.” (See Dec. 13; Tr. 26). Therefore, the record
contains substantial support for the ALJ’s conclusion that Arrington’s claim of disabling pain was
not entirely credible.
The plaintiff also argues that the ALJ erred by failing to explain how he applied the socalled “Avery factors” to the credibility analysis, and by failing to discuss the plaintiff’s activities
of daily living in his written decision. (See Pl. Mem. at 25, 27-28). Again, his argument is
unpersuasive. “The regulations recognize that a person’s symptoms may be more severe than
27
the objective medical evidence suggests. Therefore, the regulations provide six factors (known
as the Avery factors) that will be considered when the applicant alleges pain” or other
symptoms.5 Makuch v. Halter, 170 F. Supp.2d 117, 126 (D. Mass. 2001) (internal punctuation,
emphasis, and citation omitted). These are:
(1) the nature, location, onset, duration, frequency, radiation, and
intensity of pain; (2) any precipitating or aggravating factors; (3) the type,
dosage, effectiveness, and adverse side effects of any pain medication;
(4) any treatment, other than medication, for the relief of pain; (5) any
functional restrictions; and (6) the claimant’s daily activities.
Rohrberg v. Apfel, 26 F. Supp.2d 303, 308 (D. Mass. 1998) (citing Avery v. Sec’y of Health &
Human Servs., 797 F.2d 19, 29 (1st Cir. 1986)). While the ALJ must consider each of these
factors, there is no requirement that he make specific findings regarding each of the factors in
his written decision. See 20 C.F.R. § 404.1529(c)(3) (listing Avery factors as factors that the
Commissioner “will consider” in evaluating subjective complaints of pain and other symptoms).
See also Rand v. Barnhart, 357 F. Supp.2d 361, 368 (D. Mass. 2005) (“While it may be argued
that it would have been more helpful for the hearing officer explicitly to outline the Avery
factors in making his credibility determination, it is sufficiently clear from the record that he
thoroughly questioned [the claimant] according to those guidelines at the hearing”). Here, the
ALJ satisfied his obligation to consider the relevant factors.
During the hearing, and again in his written decision, the ALJ considered Arrington’s
statements regarding the nature, intensity, persistence and limiting effects of his pain and
other symptoms. For example, but without limitation, the ALJ considered Arrington’s testimony
5
“While the Avery factors only discuss ‘pain,’ Social Security Ruling 96-7p makes it clear that the factors
also apply to ‘other symptoms.’” Amaral v. Comm’r of Soc. Sec., 797 F. Supp. 2d 154, 162 n.3 (D. Mass.
2010) (quoting SSR 96-7p, 1996 WL 374186, at *3).
28
regarding his back and left knee pain, including Arrington’s comments regarding the nature and
intensity of his pain, as well as his description of the physical limitations he experiences as a
result of his symptoms. (Dec. 12; Tr. 25, 69-79, 84-91). Additionally, the ALJ considered
Arrington’s testimony regarding the type and effectiveness of his treatment, including his
medications, his receipt of injections in his knee, and his consistent use of a brace. (Dec. 12; Tr.
25, 72-83). Although the ALJ did not address Arrington’s daily activities in his written decision,
he specifically questioned the plaintiff about those activities during the hearing. (Tr. 96-97).
In addition to eliciting testimony on all of these points, the ALJ reviewed Arrington’s
medical records in detail, and considered the statements that the plaintiff had made to his
treating physicians and other medical professionals. (See Dec. 7-12; Tr. 20-25). Accordingly,
the ALJ considered Arrington’s complaints of pain in his knee and lower back, as well as his
complaints of swelling and buckling of his knee. (See id.). He also considered the treatment
that Arrington received from his medical providers, and the effect that the treatment had on
Arrington’s symptoms. (See id.). The record thus shows that the ALJ thoroughly considered the
relevant factors in connection with his assessment of Arrington’s credibility, and that he carried
out his obligation to “evaluate the credibility of the claimant’s subjective complaints of
disabling limitations based on consideration of the entire record[.]” Larlee v. Astrue, 694 F.
Supp.2d 80, 85 (D. Mass. 2010). Accordingly, this court finds that the ALJ’s credibility
determination must be upheld on appeal.
3.
The ALJ’s Handling of the Opinion Evidence
Arrington next contends that the ALJ committed reversible error by relying on the
opinion of the State agency physician, Dr. Krishnamurthy, in support of his finding regarding the
29
plaintiff’s RFC. Specifically, the plaintiff argues that it was improper for the ALJ to credit Dr.
Krishnamurthy’s opinion because it was based on only a partial review of the record. (Pl. Mem.
at 35-37). He also argues that it was improper for the ALJ to credit Dr. Krishnamurthy’s
assessment of his physical RFC over the assessments of his treating physician, Dr. Kelman, and
Rowland W. Pritchard, M.D., an independent medical examiner who evaluated the plaintiff in
2003. (Id. at 37-38). Finally, the plaintiff argues that the ALJ was remiss in failing to re-contact
Dr. Kelman in order to seek additional information regarding Arrington’s postural limitations.
(Id. at 31-34). For the reasons that follow, this court concludes that the ALJ’s handling of these
matters was appropriate.
The ALJ’s Reliance on Dr. Krishnamurthy’s Assessment
Dr. Krishnamurthy completed a physical RFC assessment of the plaintiff on October 27,
2010 based on a review of the available medical records. (Tr. 918-25). Therein, Dr.
Krishnamurthy determined that as of the date last insured, Arrington retained the physical
capacity to lift and/or carry 20 pounds occasionally and 10 pounds frequently, to stand and/or
walk at least 2 hours in an 8-hour workday, and to sit for about 6 hours in an 8-hour workday.
(Tr. 919). She also determined, with respect to postural maneuvers, that Arrington could never
climb ladders, rope or scaffolds, but that he had the capacity to climb ramps or stairs, and to
balance, stoop, kneel, crouch or crawl occasionally. (Tr. 920). Furthermore, Dr. Krishnamurthy
recommended that the plaintiff avoid concentrated exposure to extreme cold, humidity and
vibration, and avoid even moderate exposure to hazards. (Tr. 922). However, she found that
he had no manipulative, visual or communicative limitations, and no restrictions with respect to
pushing and/or pulling, extreme heat, wetness, noise and fumes. (Tr. 919, 921-22).
30
In his written decision, the ALJ explained that he had given “great weight” to Dr.
Krishnamurthy’s assessment because it was “consistent with the record as a whole for the
period on or before the date last insured” with the exception that the record “supports a need
to avoid concentrated exposure to hazards rather than a more restrictive limitation to ‘moderate’ exposure.” (Dec. 12; Tr. 25). Accordingly, he adopted Dr. Krishnamurthy’s assessment of
Arrington’s RFC, except that he found that Arrington needed to avoid concentrated exposure to
hazards. (See Dec. Finding #5; Tr. 19).
The plaintiff argues that the ALJ erred in adopting Dr. Krishnamurthy’s opinion because
it did not address the medical evidence that was generated after the date of her assessment,
including medical evidence generated during the time period from November 2010 to the date
of the ALJ’s decision on July 22, 2014. (Pl. Mem. at 35). The First Circuit has held that the
opinion of a non-examining consultant cannot serve as substantial evidence if it is “based on a
significantly incomplete record, and it [is] not well justified because it fails to account for a
deterioration in the claimant’s condition. Alcantara v. Astrue, 257 F. App’x 333, 334 (1st Cir.
2007) (per curiam) (emphasis added). “On the other hand, the ALJ may rely on [such] evidence
when the information in that evidence remains accurate.” Abubakar v. Astrue, C.A. No. 1:11cv-10456-DJC, 2012 WL 957623, at *12 (D. Mass. Mar. 21, 2012). In this case, Dr.
Krishnamurthy completed her assessment more than three years after the expiration of
Arrington’s insured status. Accordingly, she was able to consider all of the medical records
relating to the period under review, as well as all of the records from the time periods
surrounding the period under review. There is no requirement that she consider medical
31
evidence even more remote from the relevant time period. Her assessment thus provides
substantial support for the ALJ’s RFC determination.
Failure to Adopt Opinions of Drs. Pritchard and Kelman
The plaintiff also challenges the ALJ’s decision to adopt Dr. Krishnamurthy’s opinion over
the opinions of Dr. Pritchard and Dr. Kelman on the grounds that it violated the treating
physician rule. (Pl. Mem. at 31-32, 37-38). He further contends that the ALJ failed to fulfill an
obligation to re-contact Dr. Kelman in order clarify the basis for his opinion. (Id. at 31-34). For
the reasons that follow, this court finds that the ALJ’s handling of these matters was proper.
The Treating Source Rule
The Social Security regulations provide that “the hearing officer should ‘generally’ give
more weight to a source who has treated the claimant as a patient or examined the person.”
Monroe v. Barnhart, 471 F. Supp. 2d 203, 211 (D. Mass. 2007) (quoting 20 C.F.R. §
404.1527(d)(1)-(2)).6 This is because such sources
are likely to be the medical professionals most able to provide a detailed,
longitudinal picture of [the 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, such as consultative examinations or brief
hospitalizations.
20 C.F.R. § 404.1527(c)(2). Thus, under the treating source rule, “[c]ontrolling weight will be
given to a treating physician’s opinion on the nature and severity of a claimant’s impairments if
the opinion ‘is well-supported by medically acceptable clinical and laboratory diagnostic
6
The Social Security regulations were revised in 2012. The provisions pertaining to the weight given to
treating source opinions can now be found at 20 C.F.R. §§ 404.1527(c)(1)-(2).
32
techniques and is not inconsistent with the other substantial evidence’ in the record.” Bourinot
v. Colvin, 95 F. Supp. 3d 161, 175 (D. Mass. 2015) (quoting 20 C.F.R. §§ 404.1527(c)(2) and
416.927(c)(2)).
The general rule regarding treating source opinions does not mean that the ALJ is always
required to adopt those opinions or even to give them more weight than opinions from nontreating sources. Under the regulations, “[c]ontrolling weight may not be given to a treating
source’s medical opinion unless the opinion is well-supported by medically acceptable clinical
and laboratory diagnostic techniques.” SSR 96-2p, 1996 WL 374188, at *1 (S.S.A. July 2, 1996)
(emphasis added). Moreover, “[t]he law in this circuit does not require the ALJ to give greater
weight to the opinions of treating physicians” even when there is support for those opinions in
the medical records. Arruda v. Barnhart, 314 F. Supp. 2d 52, 72 (D. Mass. 2004) (quoting Arroyo
v. Sec’y of Health & Human Servs., 932 F.2d 82, 89 (1st Cir. 1991)). The ALJ is entitled “to downplay the weight afforded a treating physician’s assessment of the nature and severity of an
impairment where . . . it is internally inconsistent or inconsistent with other evidence in the
record including treatment notes and evaluations by examining and nonexamining physicians.”
Arruda, 314 F. Supp. 2d at 72. “Inconsistencies between a treating physician’s opinion and
other evidence in the record are for the ALJ to resolve.” Lee v. Astrue, Civil Action No.
10-10708-DJC, 2011 WL 2748463, at *11 (D. Mass. July 14, 2011) (slip op.).
“Where controlling weight is not given to a treating source opinion, the ALJ considers an
array of factors to determine what weight to grant the opinion[.]” Bourinot, 95 F. Supp. 3d at
175-76. Those factors include “the length of the treatment relationship and the frequency of
examination, the nature and extent of the treatment relationship, the degree to which the
33
opinion can be supported by relevant evidence, and the consistency of the opinion with the
record as a whole.” Id. at 176. See also 20 C.F.R. § 404.1527(c)(2)-(6). However, the
regulations do not require the ALJ to list these factors or “to expressly state how each factor
was considered,” as long as the ALJ “provide[s] ‘good reasons’ for the weight given to a treating
source opinion.” Bourinot, 95 F. Supp. 3d at 177 (quoting 20 C.F.R. §§ 404.1527(c)(2) and
416.927(c)(2)).
Failure to Adopt Dr. Pritchard’s Opinion
Arrington argues that under the treating source rule, the ALJ should have given
controlling weight to Dr. Pritchard’s assessment of his functional limitations instead of Dr.
Krishnamarthy’s assessment of his physical RFC. (Pl. Mem. at 37-38). Dr. Pritchard met with
Arrington on September 22, 2003 to perform an independent medical evaluation based on an
examination of the plaintiff’s left lower extremity. (Tr. 869-75). In his report of the evaluation,
Dr. Pritchard stated that the plaintiff retained the capacity to perform sedentary work although
he “qualifies for a minimum 8% whole body impairment as a result of his left knee injuries and
subsequent surgeries.” (Tr. 873). Dr. Pritchard also stated that Arrington would require total
knee replacement in the future. (Tr. 875). However, he recommended that in the meantime,
“the patient be given access to a[n] exercise gym on a permanent basis where he could exercise
routinely to maintain strength of the supporting muscles of both of his lower extremities.” (Id.).
As an initial matter, Dr. Pritchard did not find that the plaintiff was unable to engage “in
any substantial gainful activity,” so his opinion would not support Arrington’s claim in any
event. In addition, Dr. Pritchard’s evaluation of the plaintiff occurred approximately 3½ years
prior to the relevant time period, at a point when Arrington was determined not to be disabled
34
under the Social Security Act. See Arrington, 358 Fed. Appx. at 91-92 (affirming ALJ’s conclusion
that Arrington had not been under a disability from October 6, 2002 through March 10, 2007).
Nothing in his report suggests that his opinions were relevant to the question whether the
plaintiff was disabled during the period under review. Finally, the ALJ’s failure to discuss Dr.
Pritchard’s opinion was based on substantial evidence. The record establishes that Dr.
Pritchard was an independent medical examiner rather than a treating physician. (Tr. 869-75).
Therefore, the ALJ was not required to give controlling weight to his opinions or even provide
good reasons for failing to adopt them.
Failure to Adopt Dr. Kelman’s Opinion
This court also finds that the ALJ’s decision to adopt Dr. Krishnamurthy’s opinion over
the opinion of Dr. Kelman was not in error. As described above, Dr. Kelman was Arrington’s
treating orthopedist. On July 9, 2007, shortly after the expiration of Arrington’s date last
insured, Dr. Kelman reported that “[t]he [plaintiff] may work with restrictions of sedentary
work alternating with ambulatory status 1:1; no climbing, squatting, kneeling, bending, or
stooping.” (Tr. 547). Dr. Kelman made the same statements in subsequent reports, including
reports that were generated in September 2007 and October 2007. (Tr. 556, 560, 566, 570,
574). However, in November 2010, following an arthroscopy of Arrington’s left knee, Dr.
Kelman completed a Medical Source Statement in which he opined that Arrington could still
perform sedentary work with an option to alternate between sitting and standing or walking,
but that he could also lift and carry up to 50 pounds frequently and had no restrictions on his
ability to perform postural activities such as bending, stooping and kneeling. (Tr. 1111-14).
35
In his written decision, the ALJ described Dr. Kelman’s treatment reports in detail,
including Dr. Kelman’s assessments of Arrington’s physical abilities. (Dec. 8-11; Tr. 21-24). The
ALJ explained that he had given “some weight” to Dr. Kelman’s opinion. (Dec. 12; Tr. 25).
However, as the ALJ further explained:
I give some weight to the assessments of Dr. Kelman. In July and October
2007, he limited claimant to sedentary work with no climbing, squatting,
kneeling, bending or stooping. While I have given weight to the
assessment that the claimant was limited to work which did not require
more than 2 hours standing over an 8 hour day, the evidence does not
support a total restriction against climbing, squatting, kneeling, bending
or stooping. Dr. Kelman’s records show that the claimant was able to
semi-squat and arise, but with left knee pain. There is no objective
finding to support a total inability to climb stairs, squat, kneel, bend or
stoop. In fact, in a [RFC] assessment completed in November 2010, when
the claimant’s left knee was progressively worsening, Dr. Kelman did not
include any postural limitations.
(Dec. 12-13; Tr. 25-26 (citations omitted)). Consequently, the ALJ credited Dr. Kelman’s
assessment that Arrington could sit for 6 hours over an 8-hour work day and stand and/or walk
for 2 hours over an 8-hour workday, as required to perform sedentary work, but did not
otherwise adopt Dr. Kelman’s opinion regarding Arrington’s RFC. (See Dec. 6; Tr. 19). Instead,
the ALJ adopted Dr. Krishnamurthy’s opinion, as modified to preclude concentrated exposure to
hazards rather than moderate exposure to hazards. (Dec. 12-13; Tr. 25-26).
The ALJ’s decision complies with the treating physician rule. As described above, the ALJ
provided specific reasons as to why he chose to credit Dr. Krishnamurthy’s opinion over the
opinion of Dr. Kelman. This court finds that those reasons are supported by substantial
evidence. As the ALJ noted, Dr. Kelman’s records confirm that in early July 2007, shortly after
the expiration of Arrington’s insured status, the plaintiff was able to semi-squat and arise, but
with left knee pain. (Tr. 546). Accordingly, Dr. Kelman’s suggestion that Arrington was
36
precluded from any squatting was inconsistent with his own findings. Dr. Kelman’s treatment
records also support the ALJ’s conclusion that the objective findings did not establish a total
inability to climb stairs or perform other postural maneuvers. In particular, during his July 9,
2007 examination of the plaintiff, Dr. Kelman found that Arrington could walk with a slight limp
and arise on his heels and toes without difficulty. (Id.). He further reported the results of his
examination as follows:
Inspection of the left lower extremity demonstrates slight quadriceps
atrophy. The left knee demonstrates a slight effusion. The surgical
incision is well-healed. The patient can actively straight-leg raise without
extensor lag. There is no instability to anterior/posterior or varus/valgus
manual stress testing. Pivot shift test is negative. Range of motion is full.
Palpation about the left knee demonstrates no medial or lateral joint line
tenderness. McMurray and Apley grind tests are negative. Thessaly test
is negative.
The bilateral calves are soft and non-tender.
The neurovascular examination (including sensory, motor, and reflex
testing) is intact and equal to both lower extremities.
(Tr. 546-47). This evidence supports the ALJ’s conclusion that Arrington’s impairments did not
preclude him from occasionally climbing, balancing, stooping, kneeling, crouching or crawling.
The ALJ’s decision to give only “some weight” to Dr. Kelman’s opinion is further
supported by Dr. Kelman’s November 2010 Medical Source Statement. The plaintiff claims that
by that time, his left knee impairment had gotten progressively worse. (Pl. Mem. at 35).
Nevertheless, Dr. Kelman determined that Arrington had no postural limitations and no
restrictions on his capacity to lift and carry items weighing up to 50 pounds. (Tr. 1112-13).
Under the Social Security regulations, the ALJ is entitled “to downplay the weight afforded a
treating physician’s assessment of the nature and severity of an impairment where, as here, it is
37
internally inconsistent or inconsistent with other evidence in the record including treatment
notes and evaluations by examining and nonexamining physicians.” Arruda, 314 F. Supp.2d at
72. Accordingly, the ALJ’s decision regarding the weight given to the opinions of the treating
and non-treating sources must be upheld on appeal.
Failure to Re-Contact Dr. Kelman
This court also finds that there is no merit to the plaintiff’s assertion that the ALJ was
required to re-contact Dr. Kelman in order to seek additional information regarding Arrington’s
postural limitations. “Effective March 26, 2012, the regulations governing an ALJ’s ‘duty’ to
recontact a medical source . . . changed.” Borgsmiller v. Astrue, 499 F. App’x 812, 815 n.4 (10th
Cir. 2012). Under the regulations that now control, and which controlled at the time the ALJ
rendered his decision in this case, the ALJ has the option of re-contacting a treating physician or
other medical source if the evidence in the record is insufficient to make a determination as to
whether the claimant is disabled or the ALJ is unable to resolve inconsistencies in the record.
20 C.F.R. § 404.1520b. Alternatively, however, the ALJ may seek to resolve any inconsistency or
insufficiency by requesting additional records, asking the claimant to undergo a consultative
examination or asking the claimant or others for more information. Id. The regulations do not
require the ALJ to obtain the necessary information by re-contacting a treating source. Id.
In the present case, the ALJ found that “[t]here [were] inconsistent opinions regarding
the claimant’s ability to perform postural maneuvers.” (See Dec. 13; Tr. 26). Nevertheless, he
was able to weigh the available evidence and reach a determination about Arrington’s disability
claim without the need to obtain additional information. Under the regulations, he was not
required to take further action. See 20 C.F.R. § 404.1520b (explaining that the Commissioner
38
“may need to take additional actions” if the evidence in the record is insufficient or inconsistent, but that in the case of inconsistencies, the Commissioner “will weigh the relevant
evidence and see whether [she] can determine whether [the claimant is] disabled based on the
evidence we have”). Even if the ALJ had been unable to resolve the inconsistencies in the
opinion evidence, he would have had the option of seeking additional information from a
number of different sources, and would not have been required to re-contact Dr. Kelman. See
id. (explaining that Commissioner “will try to resolve the inconsistency or insufficiency by taking
any one or more of the actions listed in paragraphs (c)(1) through (c)(4) of this section[,]” but
retains the discretion to determine which actions to take). Accordingly, his failure to do so did
not amount to reversible error.
4.
Arrington’s Challenge to the Step 5 Analysis
Finally, Arrington challenges the ALJ’s decision at step five in the sequential analysis. At
this step in the evaluation process, the ALJ relied on the VE’s testimony to conclude that
through the date last insured, there were a significant number of jobs in the national economy
that could be performed by an individual with Arrington’s age, education, work experience and
RFC, and that Arrington was capable of making a successful adjustment to other work. (Dec.
14-15; Tr. 27-28). As the ALJ stated in his decision:
Through the date last insured, if the claimant had the [RFC] to perform
the full range of light work, a finding of “not disabled” would be directed
by Medical-Vocational Rule 202.21. 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, I asked the [VE] whether jobs existed in the national
economy for an individual with the claimant’s age, education, work
experience, and [RFC]. The [VE] testified that given all of these factors
the individual would have been able to perform the requirements of
39
representative unskilled, sedentary occupations such as a surveillance
system monitor (DOT 379.367-010), with 2,070 jobs in the Massachusetts
economy and 990,000 jobs in the national economy; a food order clerk
(DOT 209.567-014), with 400 jobs in the Massachusetts economy and
276,000 jobs in the national economy; and a circuit board inspector (DOT
726.684-054), with 695 jobs in the Massachusetts economy and 473,000
jobs in the national economy.
(Dec. 14; Tr. 27). Arrington argues that the ALJ’s decision on this matter was not supported by
substantial evidence because the ALJ erred in adopting Dr. Krishnamurthy’s assessment of his
RFC, failed to determine whether Arrington had transferable job skills that would enable him to
perform semi-skilled work, and failed to include a sit/stand option and limitations on the
claimant’s mental functioning in the RFC that he presented to the VE at the hearing. (Pl. Mem.
at 38-48). Additionally, Arrington challenges the VE’s characterization of a surveillance system
monitor and a circuit board inspector as unskilled, as well as the description of the surveillance
system monitor and food order clerk positions as sedentary, and he disputes the VE’s testimony
regarding the number of surveillance system monitor jobs that are available in the national
economy. (Id. at 48-51). Finally, Arrington argues that the ALJ should have found him disabled
per se under the Medical-Vocational Rules. (See id. at 52). This court finds that none of the
plaintiff’s arguments are persuasive.
Arrington’s Challenge to the RFC Presented to the VE
The plaintiff first argues that the ALJ’s finding at step 5 was not supported by substantial
evidence because it was based on a hypothetical question that did not accurately describe the
claimant’s RFC. “The opinion of a vocational expert that a Social Security claimant can perform
certain jobs qualifies as substantial evidence at the fifth step of the analysis.” Sousa v. Astrue,
783 F. Supp.2d 226, 235 (D. Mass. 2011). “In order to be substantial evidence, however, the
40
opinion of the vocational expert must be in response to a hypothetical that accurately describes
the claimant’s limitations.” Id. In this case, the ALJ relied on the VE’s response to a hypotheticcal question that included the RFC set forth in the ALJ’s written decision. (See Tr. 100-01).
Arrington has not shown that his conduct in this regard was erroneous.
The plaintiff contends that it was improper for the ALJ to rely on Dr. Krishnamurthy’s
assessment of his RFC because it conflicts with other evidence contained in the record. (Pl.
Mem. at 38-39). As described above, however, the responsibility for resolving such conflicts
rests with the ALJ. Teague, 151 F. Supp.3d at 226. Moreover, to the extent Arrington’s
argument is based on Dr. Pritchard’s 2003 independent medical evaluation or on evidence that
was generated years after the date last insured, he has not shown why such evidence was
relevant to the ALJ’s analysis. To the extent his argument is based on the ALJ’s assessment of
his credibility or the ALJ’s decision to adopt Dr. Krishnamurthy’s opinion over the opinion of Dr.
Kelman, it is unpersuasive for the reasons described above.
This court also finds that the ALJ committed no error by failing to incorporate any
mental limitations into his assessment of Arrington’s RFC. As the ALJ explained at step two of
his analysis, during the hearing, the plaintiff testified that he had been depressed since June of
2007, was receiving counseling at the VA and had trouble concentrating. (Dec. 5-6; Tr. 19; see
also Tr. 93-95). However, the only record reflecting his mental status during the relevant time
period consisted of a two-question depression screening, which was administered by a VA
nurse on April 12, 2007 and showed negative results. (Dec. 5-6; Tr. 18-19; see also Tr. 828). As
a result, Arrington has not established the presence of a severe mental impairment during the
41
time period from March 11, 2007 through his date last insured, and there was no basis for
including any mental limitations in the plaintiff’s RFC.7
With respect to the plaintiff’s claim that the ALJ should have included a sit/stand option
in the RFC, this court finds that the failure to do so was not erroneous. As discussed supra, this
court has found that the ALJ’s decision to adopt Dr. Krishnamurthy’s assessment of Arrington’s
RFC was supported by substantial evidence. That assessment did not include the need for a
sit/stand option.8 (See Tr. 918-25). Furthermore, while the ALJ in Florida found that Arrington
required a sit/stand option that would enable him to “alternate sitting (of [no] more than 45
minutes at a time) and standing (of no more than 15 minutes at a time),” the ALJ in this case
had no obligation to adopt that finding. (See Pl. Mem. at 43 (quoting Tr. 134)). “[W]hen a
claimant files a new application covering a new time frame, the issues (including RFC) are to be
examined de novo.” Frost v. Barnhart, No. 03-215-P-H, 2004 WL 1529286, at *3 (D. Me. May 7,
2004). See also Albright v. Comm’r of Soc. Sec. Admin., 174 F.3d 473, 476 (4th Cir. 1999) (“The
[Social Security Administration] treats a claimant’s second or successive application for
disability benefits as a claim apart from those earlier filed, at least to the extent that the most
7
Because there was substantial evidence to support the ALJ’s finding that Arrington had no severe
mental impairments, the plaintiff’s argument that “[t]he surveillance system monitor job involve[s]
level-three reasoning” does not undermine the ALJ’s decision that he could perform that job. (See Pl.
Mem. at 46).
8
Although the ALJ provided no specific explanation as to why he did not adopt Dr. Kelman’s opinion
that Arrington required “sedentary work alternating with ambulatory status 1:1” (Tr. 547), this court
finds that any error was harmless because the ALJ gave good reasons for adopting Dr. Krishnamurthy’s
RFC assessment over the opinion of Dr. Kelman, and Dr. Krishnamurthy included no such limitation. See
MacDougall v. Astrue, No. 2:10-cv-400-GZS, 2011 WL 4566268, at *7 (D. Me. Sept. 29, 2011) (finding
that ALJ’s failure to consider State agency consultants’ opinions that claimant required a sit/stand option
was harmless because other substantial evidence supported ALJ’s finding of RFC without such an
option), aff’d, 2011 WL 5024456 (D. Me. Oct. 20, 2011).
42
recent application alleges a previously unadjudicated period of disability”). The decision in
Florida concerned the time period from October 6, 2002 through March 10, 2007. (See Tr.
138). Hence, the ALJ acted properly by conducting a new assessment of Arrington’s RFC.
Transferability of Job Skills
Next, Arrington contends that the ALJ committed reversible error by assuming that the
plaintiff had transferable skills from his prior jobs that would enable him to perform semiskilled work. (Pl. Mem. at 40, 51-52). However, this argument reflects a misreading of the ALJ’s
decision. In connection with his decision at step five, the ALJ found that “[t]ransferability of job
skills is not material to the determination of disability because using the Medical-Vocational
Rules as a framework supports a finding that the claimant is ‘not disabled,’ whether or not the
claimant has transferable job skills.” (Dec. Finding #9; Tr. 27 (citations omitted)). Thus, the ALJ
did not assume that the plaintiff had transferable job skills. Instead, he found it unnecessary to
address that issue at all.
Even if the ALJ had made such an assumption, Arrington would still not be entitled to
relief. As described above, the ALJ relied on the VE’s testimony that Arrington was capable of
performing “the requirements of representative unskilled, sedentary occupations” such as
those of a surveillance system monitor, food order clerk and circuit board inspector. (Dec. 14;
Tr. 27). Because the ALJ based his decision on Arrington’s ability to perform unskilled work, any
assumption that he possessed transferable skills would have been harmless. See Scarafone v.
Colvin, Civil Action No. 13-10477-RWZ, 2015 WL 71490, at *5 (D. Mass. Jan. 6, 2015) (finding
that any alleged error by VE in determining transferable skills was harmless where VE found
that plaintiff could perform unskilled jobs).
43
Testimony Regarding Availability of Other Jobs
The plaintiff also challenges the reliability of the VE’s testimony that there were other
jobs in the national economy that Arrington could perform. With respect to the job of a
surveillance system monitor, the plaintiff argues that the position is not sedentary, and that it
no longer exists in significant numbers in the national economy. (Pl. Mem. at 48-49). He also
argues that the job of a food order clerk involves a significant amount of standing, which
requires the ability to perform work at the light level of exertion, and that the job of a circuit
board inspector is a semi-skilled position rather than an unskilled position. (Id. at 50-51).
Again, the plaintiff’s arguments are not sufficient to warrant reversal or a remand of this
case for further administrative proceedings. The Dictionary of Occupational Titles establishes
that the job of a food order clerk (DOT 209.567-014) is a sedentary occupation that involves
“sitting most of the time, but may involve walking or standing for brief periods of time.”
Dictionary of Occupational Titles 209.567-014, 1991 WL 671794 (1991). Because there are
276,000 food order clerk positions available nationwide, this job alone is sufficient to satisfy the
Commissioner’s burden at step five of the disability analysis. See Vining v. Astrue, 720 F.
Supp.2d 126, 137 (D. Me. 2010) (“The figure of 11,000 jobs nationwide is in line with what
courts have held to be a ‘significant’ number for purposes of [the] Step 5 analysis”); Brown v.
Barnhart, No. 03-44-B-W, 2004 WL 413305, at *5-6 (D. Me. Mar. 3, 2004) (noting that “[a]
single occupation is sufficient to meet the Commissioner’s burden” at step five, and finding that
the existence of more than 150,000 surveillance system monitor jobs nationally was “sufficient
to meet the ‘significant number’ requirement), adopted by 2004 WL 1572695 (D. Me. Apr. 5,
2004) and aff’d, 126 Fed. Appx. 495 (1st Cir. 2005). Accordingly, even if this court were to find
44
that Arrington’s remaining challenges to the VE’s testimony had merit, the record does not
support his assertion that the ALJ erred in finding that he can perform work which exists in
significant numbers in the national economy.
Application of the Medical-Vocational Guidelines
Finally, the plaintiff suggests that the ALJ erred by failing to find that he was disabled
under the Medical-Vocational Guidelines found at 20 C.F.R. Pt. 404, Subpt. P, App. 2 (the
“Grid”). Thus, the plaintiff contends that he was 54 years old at the time of his June 10, 2014
hearing before the ALJ, and that an individual age 50 or older who is limited to a full range of
sedentary work and has no transferable skills is deemed to be disabled under the Grid. (See Pl.
Mem. at 52). In this case, however, Arrington was required to demonstrate that he was
disabled by June 30, 2007, when he was 47 years old. (See Tr. 312). At that time, Arrington was
considered a “younger” individual for purposes of his claim for SSDI. See 20 C.F.R. §
404.1563(c) (defining “younger person” as a person under the age of 50). Under the Grid, a
younger individual who has graduated from high school and has no transferable skills is not
considered disabled even if he is limited to no more than sedentary work. 20 C.F.R. Pt. 404.
Subpt. P, App. 2 § 201.21. Consequently, the ALJ’s finding at step five of the disability analysis
was based on substantial evidence as well.
IV. CONCLUSION
For all the reasons detailed herein, the “Plaintiff’s Motion for Order Reversing or
Remanding the Decision of the Commissioner” (Docket No. 24) is DENIED and the “Defendant’s
Motion for Order Affirming the Decision of the Commissioner” (Docket No. 31) is ALLOWED.
45
/ s / Judith Gail Dein
Judith Gail Dein
United States Magistrate Judge
46
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