Williams v. Commissioner of Social Security
Filing
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OPINION: the ALJ's decision is supported by substantial evidence, the Commissioner's decision is affirmed; signed by Magistrate Judge Ellen S. Carmody (Magistrate Judge Ellen S. Carmody, jal)
UNITED STATES DISTRICT COURT
WESTERN DISTRICT OF MICHIGAN
SOUTHERN DIVISION
ROBERT WILLIAMS,
Plaintiff,
Hon. Ellen S. Carmody
v.
Case No. 1:14-cv-1226
COMMISSIONER OF
SOCIAL SECURITY,
Defendant.
_____________________________________/
OPINION
This is an action pursuant to Section 205(g) of the Social Security Act, 42 U.S.C.
§ 405(g), to review a final decision of the Commissioner of Social Security denying Plaintiff’s claim
for Disability Insurance Benefits (DIB) and Supplemental Security Income (SSI) under Titles II and
XVI of the Social Security Act. On February 12, 2015, the parties agreed to proceed in this Court
for all further proceedings, including an order of final judgment. (Dkt. #9). Section 405(g) limits
the Court to a review of the administrative record and provides that if the Commissioner’s decision
is supported by substantial evidence it shall be conclusive. The Commissioner has found that
Plaintiff is not disabled within the meaning of the Act. For the reasons stated below, the Court
concludes that the Commissioner’s decision is supported by substantial evidence. Accordingly, the
Commissioner’s decision is affirmed.
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STANDARD OF REVIEW
The Court’s jurisdiction is confined to a review of the Commissioner’s decision and
of the record made in the administrative hearing process. See Willbanks v. Sec’y of Health and
Human Services, 847 F.2d 301, 303 (6th Cir. 1988). The scope of judicial review in a social security
case is limited to determining whether the Commissioner applied the proper legal standards in
making her decision and whether there exists in the record substantial evidence supporting that
decision. See Brainard v. Sec’y of Health and Human Services, 889 F.2d 679, 681 (6th Cir. 1989).
The Court may not conduct a de novo review of the case, resolve evidentiary conflicts, or decide
questions of credibility. See Garner v. Heckler, 745 F.2d 383, 387 (6th Cir. 1984). It is the
Commissioner who is charged with finding the facts relevant to an application for disability benefits,
and her findings are conclusive provided they are supported by substantial evidence. See 42 U.S.C.
§ 405(g).
Substantial evidence is more than a scintilla, but less than a preponderance. See
Cohen v. Sec’y of Dep’t of Health and Human Services, 964 F.2d 524, 528 (6th Cir. 1992) (citations
omitted). It is such relevant evidence as a reasonable mind might accept as adequate to support a
conclusion. See Richardson v. Perales, 402 U.S. 389, 401 (1971); Bogle v. Sullivan, 998 F.2d 342,
347 (6th Cir. 1993). In determining the substantiality of the evidence, the Court must consider the
evidence on the record as a whole and take into account whatever in the record fairly detracts from
its weight. See Richardson v. Sec’y of Health and Human Services, 735 F.2d 962, 963 (6th Cir.
1984). As has been widely recognized, the substantial evidence standard presupposes the existence
of a zone within which the decision maker can properly rule either way, without judicial interference.
See Mullen v. Bowen, 800 F.2d 535, 545 (6th Cir. 1986) (citation omitted). This standard affords
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to the administrative decision maker considerable latitude, and indicates that a decision supported
by substantial evidence will not be reversed simply because the evidence would have supported a
contrary decision. See Bogle, 998 F.2d at 347; Mullen, 800 F.2d at 545.
PROCEDURAL POSTURE
Plaintiff was 48 years of age on his alleged disability onset date. (Tr. 139). He
successfully completed high school and worked previously as a welder, semi-loader, set-up operator,
checker, painter, assembler, and crib attendant. (Tr. 27-28). Plaintiff applied for benefits on
February 3, 2012, alleging that he had been disabled since December 31, 2007, due to chronic back
and knee pain. (Tr. 139-46, 158). Plaintiff’s applications were denied, after which time he requested
a hearing before an Administrative Law Judge (ALJ). (Tr. 60-138). On June 6, 2013, Plaintiff
appeared before ALJ James Kent with testimony being offered by Plaintiff and a vocational expert.
(Tr. 33-59). In a written decision dated July 3, 2013, the ALJ determined that Plaintiff was not
disabled. (Tr. 19-29). The Appeals Council declined to review the ALJ’s determination, rendering
it the Commissioner’s final decision in the matter. (Tr. 1-5). Plaintiff subsequently initiated this
action pursuant to 42 U.S.C. § 405(g), seeking judicial review of the ALJ’s decision.
Plaintiff’s insured status expired on December 31, 2012. (Tr. 21). Accordingly, to
be eligible for Disability Insurance Benefits under Title II of the Social Security Act, Plaintiff must
establish that he became disabled prior to the expiration of his insured status. See 42 U.S.C. § 423;
Moon v. Sullivan, 923 F.2d 1175, 1182 (6th Cir. 1990).
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ANALYSIS OF THE ALJ’S DECISION
The social security regulations articulate a five-step sequential process for evaluating
disability. See 20 C.F.R. §§ 404.1520(a-f), 416.920(a-f).1 If the Commissioner can make a
dispositive finding at any point in the review, no further finding is required. See 20 C.F.R. §§
404.1520(a), 416.920(a). The regulations also provide that if a claimant suffers from a nonexertional
impairment as well as an exertional impairment, both are considered in determining his residual
functional capacity. See 20 C.F.R. §§ 404.1545, 416.945.
The burden of establishing the right to benefits rests squarely on Plaintiff’s shoulders,
and he can satisfy his burden by demonstrating that his impairments are so severe that he is unable
to perform his previous work, and cannot, considering his age, education, and work experience,
perform any other substantial gainful employment existing in significant numbers in the national
economy. See 42 U.S.C. § 423(d)(2)(A); Cohen, 964 F.2d at 528. While the burden of proof shifts
to the Commissioner at step five, Plaintiff bears the burden of proof through step four of the
procedure, the point at which his residual functioning capacity (RFC) is determined. See Bowen v.
Yuckert, 482 U.S. 137, 146 n.5 (1987); Walters v. Comm’r of Soc. Sec., 127 F.3d 525, 528 (6th Cir.
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1. An individual who is working and engaging in substantial gainful activity will not be found to be “disabled”
regardless of medical findings (20 C.F.R. 404.1520(b));
2. An individual who does not have a “severe impairment” will not be found “disabled” (20 C.F.R.
404.1520(c));
3. If an individual is not working and is suffering from a severe impairment which meets the duration
requirement and which “meets or equals” a listed impairment in Appendix 1 of Subpart P of Regulations No.
4, a finding of “disabled” will be made without consideration of vocational factors (20 C.F.R. 404.1520(d));
4. If an individual is capable of performing work he or she has done in the past, a finding of “not disabled”
must be made (20 C.F.R. 404.1520(e));
5. If an individual’s impairment is so severe as to preclude the performance of past work, other factors
including age, education, past work experience, and residual functional capacity must be considered to
determine if other work can be performed (20 C.F.R. 404.1520(f)).
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1997) (ALJ determines RFC at step four, at which point claimant bears the burden of proof).
The ALJ determined that Plaintiff suffers from: (1) degenerative joint disease of the
bilateral knees; (2) degenerative disc disease of the lumbar spine; and (3) obesity, severe
impairments that whether considered alone or in combination with other impairments, failed to
satisfy the requirements of any impairment identified in the Listing of Impairments detailed in 20
C.F.R., Part 404, Subpart P, Appendix 1. (Tr. 21-23).
With respect to Plaintiff’s residual functional capacity, the ALJ determined that
Plaintiff retained the capacity to perform light work subject to the following limitations: (1) he can
lift 20 pounds occasionally and 10 pounds frequently; (2) during an 8-hour workday with normal
breaks, he can sit and stand/walk for up to six hours each; (3) he can occasionally climb stairs,
ramps, ladders, ropes, and scaffolds; (4) he can occasionally balance, kneel, stoop, crouch, and crawl;
(5) he must avoid concentrated exposure to extreme temperatures and humidity; (6) he must avoid
hazards such as unprotected heights and dangerous moving machinery; (7) he can understand,
remember, and carry out normal instructions; (8) he can exercise normal judgment and make normal
work-related decisions; (9) he can interact appropriately with co-workers and supervisors; and (10)
he can tolerate usual changes in his work setting and/or work routine. (Tr. 23).
The ALJ found that Plaintiff cannot perform his past relevant work at which point the
burden of proof shifted to the Commissioner to establish by substantial evidence that a significant
number of jobs exist in the national economy which Plaintiff could perform, his limitations
notwithstanding. See Richardson, 735 F.2d at 964. While the ALJ is not required to question a
vocational expert on this issue, “a finding supported by substantial evidence that a claimant has the
vocational qualifications to perform specific jobs” is needed to meet the burden. O’Banner v. Sec’y
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of Health and Human Services, 587 F.2d 321, 323 (6th Cir. 1978) (emphasis added). This standard
requires more than mere intuition or conjecture by the ALJ that the claimant can perform specific
jobs in the national economy. See Richardson, 735 F.2d at 964. Accordingly, ALJs routinely
question vocational experts in an attempt to determine whether there exist a significant number of
jobs which a particular claimant can perform, his limitations notwithstanding. Such was the case
here, as the ALJ questioned a vocational expert.
The vocational expert testified that there existed in the national economy
approximately 320,000 jobs which an individual with Plaintiff’s RFC could perform, such
limitations notwithstanding. (Tr. 52-56). This represents a significant number of jobs. See Born
v. Sec’y of Health and Human Services, 923 F.2d 1168, 1174 (6th Cir. 1990); Hall v. Bowen, 837
F.2d 272, 274 (6th Cir. 1988); Martin v. Commissioner of Social Security, 170 Fed. Appx. 369, 374
(6th Cir., Mar. 1, 2006). The ALJ concluded, therefore, that Plaintiff was not entitled to disability
benefits.
I.
The ALJ Properly Assessed Amy Vincent’s Opinion
On June 3, 2013, Plaintiff participated in a functional capacity evaluation performed
by occupational therapist Amy Vincent. (Tr. 296-304). Vincent concluded that Plaintiff was capable
of performing only a limited range of sedentary work for no more than four hours daily. (Tr. 296).
The ALJ afforded “no weight” to this opinion on the ground that Vincent’s “observations were not
consistent with the preponderance of the evidence that demonstrated the claimant was not limited
to this degree.” (Tr. 26). Plaintiff argues that he is entitled to relief on the ground that Vincent’s
“observations were entitled to some weight.”
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The treating physician doctrine recognizes that medical professionals who have a long
history of caring for a claimant and her maladies generally possess significant insight into her
medical condition. See Barker v. Shalala, 40 F.3d 789, 794 (6th Cir. 1994). An ALJ must,
therefore, give controlling weight to the opinion of a treating source if: (1) the opinion is “wellsupported by medically acceptable clinical and laboratory diagnostic techniques” and (2) the opinion
“is not inconsistent with the other substantial evidence in the case record.”
Gayheart v.
Commissioner of Social Security, 710 F.3d 365, 375-76 (6th Cir. 2013) (quoting 20 C.F.R. §
404.1527).
If an ALJ accords less than controlling weight to a treating source’s opinion, the ALJ
must “give good reasons” for doing so. Gayheart, 710 F.3d at 376. Such reasons must be
“supported by the evidence in the case record, and must be sufficiently specific to make clear to any
subsequent reviewers the weight the adjudicator gave to the treating source’s medical opinion and
the reasons for that weight.” This requirement “ensures that the ALJ applies the treating physician
rule and permits meaningful review of the ALJ’s application of the rule.” Id. (quoting Wilson v.
Commissioner of Social Security, 378 F.3d 541, 544 (6th Cir. 2004)). Simply stating that the
physician’s opinions “are not well-supported by any objective findings and are inconsistent with
other credible evidence” is, without more, too “ambiguous” to permit meaningful review of the
ALJ’s assessment. Gayheart, 710 F.3d at 376-77.
The requirement that an ALJ articulate “good reasons” for affording less than
controlling weight to a care provider’s opinion only applies to opinions rendered by acceptable
medical sources. See, e.g., Smith v. Commissioner of Social Security, 482 F.3d 873, 876 (6th Cir.
2007). An occupational therapist, however, is not considered an acceptable medical source. See 20
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C.F.R. §§ 404.1502; 404.1513; 416.902; 416.913; LaRiccia v. Commissioner of Social Security, 549
Fed. Appx. 377, 385 (6th Cir., Dec. 13, 2013). Nevertheless, occupational therapists and other
unacceptable medical sources, are permitted to offer statements regarding “the severity of [a
claimant’s] impairment(s) and how [such] affects [his] ability to work.” See, e.g., 20 C.F.R. §§
404.1513(d); 416.913(d). The ALJ assessed Vincent’s opinion and found that it was not supported
by the record. This determination is supported by substantial evidence.
The results of a March 20, 2012 examination were unremarkable and revealed that
Plaintiff “would likely benefit from physical therapy.” (Tr. 209-12). X-rays of Plaintiff’s knees,
taken May 11, 2012, revealed “mild to moderate” degenerative changes. (Tr. 274). On July 18,
2012, Plaintiff reported that his pain medication was “greatly helping” with his back and knee pain.
(Tr. 257). Plaintiff reported that he was “sleeping better now and feels less depressed due to better
pain control.” (Tr. 257). On December 10, 2012, Plaintiff reported that he had recently “mov[ed]
a stove.” (Tr. 250). On January 30, 2013, Plaintiff reported that his pain was controlled with
medication. (Tr. 288). Plaintiff was reported that he “wants to start walking again up to one mile
daily.” (Tr. 289). On March 14, 2013, Plaintiff reported that his back pain was “better” with
medication. (Tr. 283). Plaintiff was instructed to perform an exercise and stretching regimen. (Tr.
283-84). Accordingly, this argument is rejected.
II.
The ALJ Properly Assessed Vincent Kempinski’s Opinion
On June 17, 2013, Vincent Kempinski, Adult Nurse Practitioner, completed a two-
page form regarding Plaintiff’s ability to perform physical activity. (Tr. 305-06). Kempinski
concluded that Plaintiff could perform only a limited range of sedentary work. (Tr. 305-06). The
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ALJ afforded “little weight” to Kempinski’s opinion. (Tr. 26-27). Plaintiff argues that he is entitled
to relief because the ALJ “did not give proper weight to” Kempinski’s opinions.
A nurse practitioner is not an acceptable medical source under the Social Security
regulations. See, e.g., McNamara v. Commissioner of Social Security, 623 Fed. Appx. 308, 309 (6th
Cir., Dec. 10, 2015). The ALJ nevertheless considered Kempinski’s opinion and found that it was
entitled to little weight because it was based upon Amy Vincent’s opinions. This is an accurate
assessment as Kempinski’s opinion expressly incorporates Vincent’s report and opinions. (Tr. 305).
Given the shortcomings in Vincent’s opinion, articulated above, incorporation of such by Kempinski
supports the ALJ’s assessment. The ALJ also noted that Kempinski’s opinion that Plaintiff could
perform only a limited range of sedentary work was not supported by the evidence of record which
as discussed in the preceding section is supported by substantial evidence. Accordingly, this
argument is rejected.
III.
The ALJ Properly Discounted Plaintiff’s Subjective Allegations
At the administrative hearing, Plaintiff testified that he was impaired to an extent far
greater than recognized by the ALJ. Plaintiff testified that he was unable to walk without use of a
cane and also needed the cane “sometimes” for balance. (Tr. 42). Plaintiff testified that he was
unable to stand for longer than 15-30 minutes and could only walk “about two blocks.” (Tr. 42).
Plaintiff testified that at least once weekly his condition becomes so bad that he is unable to even
leave his house. (Tr. 47). Plaintiff reported that his medications cause him to nap 4-5 times daily.
(Tr. 47). Plaintiff reported that he could lift 10 pounds on a single occasion, but could not do so at
even 15 minute intervals. (Tr. 41). The ALJ concluded that Plaintiff was “not entirely credible” and,
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therefore, afforded limited weight to his testimony. Plaintiff asserts that he is entitled to relief
because the ALJ’s rationale for discounting his testimony is not supported by substantial evidence.
As the Sixth Circuit has long recognized, “pain alone, if the result of a medical
impairment, may be severe enough to constitute disability.” King v. Heckler, 742 F.2d 968, 974 (6th
Cir. 1984) (emphasis added); see also, Grecol v. Halter, 46 Fed. Appx. 773, 775 (6th Cir., Aug. 29,
2002) (same). As the relevant Social Security regulations make clear, however, a claimant’s
“statements about [his] pain or other symptoms will not alone establish that [he is] disabled.” 20
C.F.R. § 404.1529(a); see also, Walters v. Commissioner of Social Security, 127 F.3d 525, 531 (6th
Cir. 1997) (quoting 20 C.F.R. § 404.1529(a)) Hash v. Commissioner of Social Security, 309 Fed.
Appx. 981, 989 (6th Cir., Feb. 10, 2009). Instead, as the Sixth Circuit has established, a claimant’s
assertions of disabling pain and limitation are evaluated pursuant to the following standard:
First, we examine whether there is objective medical evidence of an
underlying medical condition. If there is, we then examine: (1)
whether objective medical evidence confirms the severity of the
alleged pain arising from the condition; or (2) whether the objectively
established medical condition is of such a severity that it can
reasonably be expected to produce the alleged disabling pain.
Walters, 127 F.3d at 531 (citations omitted). This standard is often referred to as the Duncan
standard. See Workman v. Commissioner of Social Security, 105 Fed. Appx. 794, 801 (6th Cir., July
29, 2004).
Accordingly, as the Sixth Circuit has repeatedly held, “subjective complaints may
support a finding of disability only where objective medical evidence confirms the severity of the
alleged symptoms.” Id. (citing Blankenship v. Bowen, 874 F.2d 1116, 1123 (6th Cir. 1989)).
However, where the objective medical evidence fails to confirm the severity of a claimant’s
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subjective allegations, the ALJ “has the power and discretion to weigh all of the evidence and to
resolve the significant conflicts in the administrative record.” Workman, 105 Fed. Appx. at 801
(citing Walters, 127 F.3d at 531).
In this respect, it is recognized that the ALJ’s credibility assessment “must be
accorded great weight and deference.” Workman, 105 Fed. Appx. at 801 (citing Walters, 127 F.3d
at 531); see also, Heston v. Commissioner of Social Security, 245 F.3d 528, 536 (6th Cir. 2001) (“[i]t
is for the [Commissioner] and his examiner, as the fact-finders, to pass upon the credibility of the
witnesses and weigh and evaluate their testimony”). It is not for this Court to reevaluate such
evidence anew, and so long as the ALJ’s determination is supported by substantial evidence, it must
stand. The ALJ found Plaintiff’s subjective allegations to not be fully credible, a finding that should
not be lightly disregarded. See Varley v. Sec’y of Health and Human Services, 820 F.2d 777, 780
(6th Cir. 1987). In fact, as the Sixth Circuit recently stated, “[w]e have held that an administrative
law judge’s credibility findings are virtually unchallengeable.” Ritchie v. Commissioner of Social
Security, 540 Fed. Appx. 508, 511 (6th Cir., Oct. 4, 2013) (citation omitted).
The ALJ discussed the evidence in this matter in great detail and concluded that such
undermined Plaintiff’s credibility. (Tr. 23-27). As the ALJ noted, there in no evidence that Plaintiff
required a cane or was ever instructed to use a cane. The ALJ also noted that Plaintiff’s reported
activities were inconsistent with his testimony. Finally, as previously noted, the medical record does
not support Plaintiff’s testimony. In sum, the ALJ’s credibility determination complies with the
relevant legal standard and is supported by substantial evidence.
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IV.
The ALJ Properly Developed the Record
On March 20, 2012, Plaintiff participated in a consultive examination conducted by
Dr. Michael Geoghegan. (Tr. 209-12). Plaintiff argues that he is entitled to relief because the ALJ
failed to secure additional opinion evidence from Dr. Geoghegan.
Plaintiff bears “the ultimate burden of producing sufficient evidence to show the
existence of a disability.” Allison v. Apfel, 2000 WL 1276950 at *5 (6th Cir., Aug. 30, 2000). As
the relevant Social Security regulations make clear, it is the claimant’s responsibility to provide the
evidence necessary to evaluate his claim for benefits. See 20 C.F.R. §§ 404.1512, 404.1514,
416.912, 416.914. As the Supreme Court has observed, “[i]t is not unreasonable to require the
claimant, who is in a better position to provide information about his own medical condition, to do
so.” Yuckert, 482 U.S. at 146 n.5.
Only under “special circumstances, i.e., when a claimant is without counsel, is not
capable of presenting an effective case, and is unfamiliar with hearing procedures, does an ALJ have
a special, heightened duty to develop the record.” Trandafir v. Commissioner of Social Security, 58
Fed. Appx. 113, 115 (6th Cir., Jan. 31, 2003); Nabours v. Commissioner of Social Security, 50 Fed.
Appx. 272, 275 (6th Cir., Nov. 4, 2002). Plaintiff was represented at the administrative hearing and
there is no evidence that his counsel was incapable of advocating Plaintiff’s position or was
unfamiliar with the relevant hearing procedures. Thus, the Court finds that the ALJ was not under
a heightened duty to develop the record in this matter.
Furthermore, the ALJ is not required to supplement the record with additional
evidence unless the record as it then exists is insufficient to assess Plaintiff’s residual functional
capacity or otherwise resolve his claims. See, e.g., Lamb v. Barnhart, 85 Fed. Appx. 52, 57 (10th
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Cir., Dec. 11, 2003); Ruby v. Colvin, 2014 WL 5782930 at *13 (S.D. Ohio, Nov. 6, 2014); Brown
v. Commissioner of Social Security, 709 F.Supp.2d 248, 257 (S.D.N.Y. 2010); Allison, 2000 WL
1276950 at *5. The record in this matter was sufficient to resolve Plaintiff’s claim for benefits.
Accordingly, this argument is rejected.
CONCLUSION
For the reasons articulated herein, the Court concludes that the ALJ’s decision is
supported by substantial evidence. Accordingly, the Commissioner’s decision is affirmed. The
Court further finds that appeal of this matter would not be taken in good faith. See Smith v.
Commissioner of Social Security, 1999 WL 1336109 at *2 (6th Cir., Dec. 20, 1999); Leal v.
Commissioner of Social Security, 2015 WL 731311 at *2 (N.D. Ohio, Feb. 19, 2015); 28 U.S.C. §
1915(a)(3). A judgment consistent with this opinion will enter.
Date: March 3, 2016
/s/ Ellen S. Carmody
ELLEN S. CARMODY
United States Magistrate Judge
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