Moore v. Social Security Administration
OPINION AND ORDER by Magistrate Judge T Lane Wilson (kah, Chambers) Modified on 4/1/2016 to change text to reflect correct event (sac, Dpty Clk).
IN THE UNITED STATES DISTRICT COURT
FOR THE NORTHERN DISTRICT OF OKLAHOMA
TRACY D. MOORE,
CAROLYN W. COLVIN,
Acting Commissioner of Social Security, )
Case No. 15-cv-25-TLW
OPINION AND ORDER
Plaintiff Tracy D. Moore seeks judicial review of the decision of the Commissioner of the
Social Security Administration denying his claim for disability insurance benefits under Title II
of the Social Security Act (“SSA”), 42 U.S.C. §§ 416(i), 423, and 1382c(a)(3). In accordance
with 28 U.S.C. § 636(c)(1) & (3), the parties have consented to proceed before a United States
Magistrate Judge. (Dkt. 8). Any appeal of this decision will be directly to the Tenth Circuit Court
In reviewing a decision of the Commissioner, the Court is limited to determining whether
the Commissioner has applied the correct legal standards and whether the decision is supported
by substantial evidence. See Grogan v. Barnhart, 399 F.3d 1257, 1261 (10th Cir. 2005).
Substantial evidence is more than a scintilla but less than a preponderance and is such relevant
evidence as a reasonable mind might accept as adequate to support a conclusion. See id. The
Court’s review is based on the record, and the Court will “meticulously examine the record as a
whole, including anything that may undercut or detract from the ALJ’s findings in order to
determine if the substantiality test has been met.” Id. The Court may neither re-weigh the
evidence nor substitute its judgment for that of the Commissioner. See Hackett v. Barnhart, 395
F.3d 1168, 1172 (10th Cir. 2005). Even if the Court might have reached a different conclusion, if
supported by substantial evidence, the Commissioner’s decision stands. See White v. Barnhart,
287 F.3d 903, 908 (10th Cir. 2002).
On appeal, plaintiff raises two issues: (1) that the ALJ “erred as a matter of law in
rejecting the opinion of the treating physician”; and (2) that the ALJ “should have re-contacted
Dr. Woosley [plaintiff’s treating neurosurgeon] for additional treatment notes.” (Dkt. 15).
Treating Physician Opinion
Plaintiff argues that the reasons given by the ALJ for rejecting Ronald E. Woosley,
M.D.’s opinion are not supported by substantial evidence. (Dkt. 15).
Ordinarily, a treating physician’s opinion is entitled to controlling weight when it is
“well-supported by medically acceptable clinical and laboratory diagnostic techniques and is not
inconsistent with the other substantial evidence in [the] case record.” 20 C.F.R. § 404.1527(c)(2);
see also Hackett v. Barnhart, 395 F.3d at 1173-74 (citing Watkins v. Barnhart, 350 F.3d 1297,
1300-01 (10th Cir. 2003)). If the ALJ discounts or rejects a treating physician opinion, he is
required to explain his reasoning for so doing. See Frey v. Bowen, 816 F.2d 508, 513 (10th Cir.
1987) (stating that an ALJ must give specific, legitimate reasons for disregarding a treating
physician’s opinion); Thomas v. Barnhart, 147 F. App’x 755, 760 (10th Cir. 2005) (holding that
an ALJ must give “adequate reasons” for rejecting an examining physician’s opinion and
adopting a non-examining physician’s opinion).
The analysis of a treating physician’s opinion is sequential. First, the ALJ must determine
whether the opinion qualifies for “controlling weight,” by determining whether it is well-
supported by medically acceptable clinical and laboratory diagnostic techniques and whether it is
consistent with the other substantial evidence in the administrative record. Watkins, 350 F.3d at
1300. If the answer is “no” to the first part of the inquiry, then the analysis is complete. If the
ALJ finds that the opinion is well-supported, he must then confirm that the opinion is consistent
with other substantial evidence in the record. Id. “[I]f the opinion is deficient in either of these
respects, then it is not entitled to controlling weight.” Id.
However, even if the ALJ finds the treating physician’s opinion is not well-supported by
medically acceptable clinical and laboratory diagnostic techniques or is inconsistent with the
other substantial evidence in the record, treating physician opinions are still entitled to deference
and must be evaluated in reference to the factors enumerated in 20 C.F.R. § 404.1527. Those
factors are as follows:
(1) the length of the treating relationship and the frequency of examination, (2)
the nature and extent of the treatment relationship, including the treatment
provided and the kind of examination or testing performed, (3) the degree to
which the physician’s opinion is supported by relevant evidence, (4)
consistency between the opinion and the record as a whole, (5) whether or not
the physician is a specialist in the area upon which an opinion is rendered; and
(6) other factors brought to the ALJ’s attention which tend to support or
contradict the opinion.
Watkins, 350 F.3d at 1301 (citing Drapeau v. Massanari, 255 F.3d 1211, 1213 (10th Cir. 2001)).
The ALJ must give good reasons in his decision for the weight he ultimately assigns the opinion.
Id. (citing 20 C.F.R. § 404.1527(d)(2)). The reasons must be of sufficient specificity to make
clear to any subsequent reviewers the weight the adjudicator gave to the treating physician’s
opinion and the reasons for that weight. See Andersen v. Astrue, 319 F. App’x 712, 717 (10th
Cir. 2009) (unpublished).1
In his recitation of the medical evidence, the ALJ did discuss Dr. Woosley’s limited
treatment notes, including the results of MRI and CT testing that Dr. Woosley ordered. (R. 1920). After considering this evidence, the ALJ subsequently found that Dr. Woosley’s opinion
was not entitled to controlling weight for the following reasons:
Dr. Woosley’s treatment notes do not fully support his medical opinion. Dr.
Woosley’s objective findings on June 28, 2012, show decreased range of
motion in the neck to a moderate degree and pain on flexion and extension of
the neck, with mild Hoffmann’s bilaterally and slight increase in tone.
However, the claimant had 4+ strength in all muscle groups, and the claimant
walked without difficulty. There was no definite loss of sensation (Exhibit 4F,
Dr. Woosely’s medical opinion is further inconsistent with Dr. Laughlin’s
objective findings. On April 14, 2011, Dr. Laughlin did indicate physical
examination to show normal muscle strength and tone, and normal, symmetric,
and physiologic reflexes. Dr. Laughlin found no joint abnormalities and good
range of motion to the spine and the extremities (Exhibit 1F, page 8).
In addition, the MRI taken on December 22, 2011 showed no evidence for cord
compression (Exhibit 1F, page 52). Given this, the undersigned does not
accord controlling weight to Dr. Woosley’s medical source opinion.
(R. 20-21). The ALJ also discounted Dr. Woosley’s opinion that plaintiff was “temporarily
totally disabled” in terms of his Workers’ Compensation claim. (R. 21).
From the ALJ’s discussion of the medical records and Dr. Woosley’s opinion, it is
apparent that the ALJ considered Dr. Woosley’s treatment notes, the imaging findings from the
10th Cir. R. 32.1 provides that “[u]npublished opinions are not precedential, but may be cited
for their persuasive value.”
testing Dr. Woosley ordered, and the record as a whole in finding that Dr. Woosley’s opinion
was not supported by the medical evidence. See Andersen, 312 F. App’x at 717. As the Tenth
Circuit has held,
[w]here, as here, we can follow the adjudicator’s reasoning in conducting our
review, and can determine that correct legal standards have been applied,
merely technical omissions in the ALJ’s reasoning do not dictate reversal. In
conducting our review, we should, indeed must, exercise common sense. The
more comprehensive the ALJ’s explanation, the easier our task; but we cannot
insist on technical perfection.
Keyes-Zachary v. Astrue, 695 F.3d 1156, 1166 (10th Cir. 2012). The ALJ accurately cited the
results of the objective medical testing, and the Court is able to clearly follow his reasoning
regarding Dr. Woosley’s opinion.
Re-contacting Dr. Woolsley
Plaintiff argues that the ALJ “had affirmative [sic] obligation to obtain all treatment notes
from Dr. Woosley regarding the Claimant’s treatment one year prior to the alleged onset date of
December 9, 2009.” (Dkt. 15 at 9). Plaintiff overlooks the fact that he bears the burden of proof
through step four, where the burden then shifts to the Commissioner at step five. Williams v.
Bowen, 844 F.2d 748, 751 (10th Cir. 1988). Furthermore, plaintiff’s counsel affirmed during the
ALJ hearing that the record exhibits were complete barring one expected from Dr. Woosley, and
the ALJ held the record open for ten days for plaintiff to submit Dr. Woosley’s medical source
statement. (R. 42-42, 307-310).
For the foregoing reasons, the ALJ’s decision finding plaintiff not disabled is hereby
SO ORDERED this 31st day of March, 2016.
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