Opinion

Santi v. Commissioner of Social Security

Court
District Court, M.D. Florida
Filed
Mar 31, 2020
Cited by
0 cases
Authority
More cited than 19.7%

stating that the court must scrutinize the entire record to determine the reasonableness of the Commissioner’s factual findings

How later courts described this case

  • stating that the court must scrutinize the entire record to determine the reasonableness of the Commissioner’s factual findings
  • also noting that “when the ALJ fails to state with at least some measure of clarity the grounds for his decision, [the Court] will decline to affirm simply because some rationale might have supported the ALJ’s conclusion”
  • stating that although the Commissioner is not required to refer to every piece of evidence in his decision, the Commissioner may not ignore relevant evidence, particularly when it supports the claimant’s position

Written by the judges who cited it.

The opinion

UNITED STATES DISTRICT COURT

MIDDLE DISTRICT OF FLORIDA

ORLANDO DIVISION

NANCY SANTI,

Plaintiff,

v. Case No. 6:18-cv-1574-Orl-MCR

COMMISSIONER OF THE SOCIAL

SECURITY ADMINISTRATION,

Defendant.

/

MEMORANDUM OPINION AND ORDER1

THIS CAUSE is before the Court on Plaintiff’s appeal of an administrative

decision denying her application for a period of disability and disability insurance

benefits (“DIB”). Plaintiff filed her application on October 2, 2014, alleging a

disability onset date of January 1, 2006, which was denied initially and on

reconsideration. (Tr. 10, 125, 141.) On September 28, 2017, Plaintiff amended

her alleged disability onset date to September 23, 2014. (Tr. 189.) On October

4, 2017, a hearing was held before Administrative Law Judge (“ALJ”) Louis M.

Cantanese at which Plaintiff was represented by counsel. (Tr. 78-109.) On

October 31, 2017, ALJ Cantanese found Plaintiff not disabled from September

23, 2014 through the date of the decision.2 (Tr. 10-23.) Plaintiff is appealing the

1 The parties consented to the exercise of jurisdiction by a United States

Magistrate Judge. (Doc. 13.)

2 Plaintiff had to establish disability on or before December 31, 2019, her date

last insured, in order to be entitled to a period of disability and DIB. (Tr. 11.)

Commissioner’s final decision that she was not disabled during the relevant time

period. Plaintiff has exhausted her available administrative remedies and the

case is properly before the Court. (Tr. 1-3.) The Court has reviewed the record,

the briefs, and the applicable law. For the reasons stated herein, the

Commissioner’s decision is REVERSED and REMANDED.

I. STANDARD

The scope of this Court’s review is limited to determining whether the

Commissioner applied the correct legal standards, McRoberts v. Bowen, 841

F.2d 1077, 1080 (11th Cir. 1988), and whether the Commissioner’s findings are

supported by substantial evidence, Richardson v. Perales, 402 U.S. 389, 390

(1971). “Substantial evidence is more than a scintilla and is such relevant

evidence as a reasonable person would accept as adequate to support a

conclusion.” Crawford v. Comm’r of Soc. Sec., 363 F.3d 1155, 1158 (11th Cir.

2004). Where the Commissioner’s decision is supported by substantial

evidence, the district court will affirm, even if the reviewer would have reached a

contrary result as finder of fact, and even if the reviewer finds that the evidence

preponderates against the Commissioner’s decision. Edwards v. Sullivan, 937

F.2d 580, 584 n.3 (11th Cir. 1991); Barnes v. Sullivan, 932 F.2d 1356, 1358 (11th

Cir. 1991). The district court must view the evidence as a whole, taking into

account evidence favorable as well as unfavorable to the decision. Foote v.

Chater, 67 F.3d 1553, 1560 (11th Cir. 1995); accord Lowery v. Sullivan, 979 F.2d

835, 837 (11th Cir. 1992) (stating that the court must scrutinize the entire record

to determine the reasonableness of the Commissioner’s factual findings).

II. Discussion

Plaintiff raises two issues on appeal. First, Plaintiff argues that the ALJ

failed to provide good cause for rejecting the opinion of Edgar A. Martorell, M.D.,

FACR, Plaintiff’s rheumatologist. (Doc. 15 at 1.) Second, Plaintiff argues that

the ALJ erred in finding that Plaintiff’s anxiety and depression were not severe

impairments. (Id.) Defendant counters that substantial evidence supports the

ALJ’s assessment of the opinion evidence and Plaintiff’s mental impairments.

(Doc. 16 at 4-17.) The undersigned agrees with Plaintiff on the first issue, and,

therefore, does not address the second issue.

A. Standard for Evaluating Opinion Evidence

The ALJ is required to consider all the evidence in the record when making

a disability determination. See 20 C.F.R. § 404.1520(a)(3). With regard to

medical opinion evidence, “the ALJ must state with particularity the weight given

to different medical opinions and the reasons therefor.” Winschel v. Comm’r of

Soc. Sec., 631 F.3d 1176, 1179 (11th Cir. 2011). Substantial weight must be

given to a treating physician’s opinion unless there is good cause to do

otherwise. See Lewis v. Callahan, 125 F.3d 1436, 1440 (11th Cir. 1997).

“‘[G]ood cause’ exists when the: (1) treating physician’s opinion was not

bolstered by the evidence; (2) evidence supported a contrary finding; or (3)

treating physician’s opinion was conclusory or inconsistent with the doctor’s own

medical records.” Phillips v. Barnhart, 357 F.3d 1232, 1240-41 (11th Cir. 2004).

When a treating physician’s opinion does not warrant controlling weight, the ALJ

must nevertheless weigh the medical opinion based on: (1) the length of the

treatment relationship and the frequency of examination, (2) the nature and

extent of the treatment relationship, (3) the medical evidence supporting the

opinion, (4) consistency of the medical opinion with the record as a whole, (5)

specialization in the medical issues at issue, and (6) any other factors that tend

to support or contradict the opinion. 20 C.F.R. § 404.1527(c)(2)-(6). “However,

the ALJ is not required to explicitly address each of those factors. Rather, the

ALJ must provide ‘good cause’ for rejecting a treating physician’s medical

opinions.” Lawton v. Comm’r of Soc. Sec., 431 F. App’x 830, 833 (11th Cir.

2011) (per curiam).

Although a treating physician’s opinion is generally entitled to more weight

than a consulting physician’s opinion, see Wilson v. Heckler, 734 F.2d 513, 518

(11th Cir. 1984) (per curiam), 20 C.F.R. § 404.1527(c)(2), “[t]he opinions of state

agency physicians” can outweigh the contrary opinion of a treating physician if

“that opinion has been properly discounted,” Cooper v. Astrue, 2008 WL 649244,

*3 (M.D. Fla. Mar. 10, 2008). Further, “the ALJ may reject any medical opinion if

the evidence supports a contrary finding.” Wainwright v. Comm’r of Soc. Sec.

Admin., 2007 WL 708971, at *2 (11th Cir. Mar. 9, 2007) (per curiam); see also

Sryock v. Heckler, 764 F.2d 834, 835 (11th Cir. 1985) (per curiam) (same).

“The ALJ is required to consider the opinions of non-examining state

agency medical and psychological consultants because they ‘are highly qualified

physicians and psychologists, who are also experts in Social Security disability

evaluation.’” Milner v. Barnhart, 275 F. App’x 947, 948 (11th Cir. 2008) (per

curiam); see also SSR 96-6p (stating that the ALJ must treat the findings of State

agency medical consultants as expert opinion evidence of non-examining

sources). While the ALJ is not bound by the findings of non-examining

physicians, the ALJ may not ignore these opinions and must explain the weight

given to them in his decision. SSR 96-6p.

B. Relevant Evidence of Record

1. Edgar A. Martorell, M.D., FACR3

On August 13, 2017, Dr. Martorell, Plaintiff’s rheumatologist, completed a

Fibromyalgia Medical Assessment Form. (Tr. 542-46.) Dr. Martorell noted that

Plaintiff met the 2010 diagnostic criteria for fibromyalgia as defined by the

American College of Rheumatology, that she experienced widespread pain, and

exhibited signs of chronic fatigue syndrome. (Tr. 542.) Dr. Martorell indicated

that Plaintiff experienced the following symptoms: multi-joint pain without redness

or swelling; shortness of breath or breathlessness; post-exertional malaise

exceeding 24 hours; diffuse muscle pain; unrefreshing sleep; chronic pain;

3 Dr. Martorell is a board certified rheumatologist and a Fellow of the American

College of Rheumatology (“FACR”). (Tr. 642.)

paresthesia; depression/anxiety; and sicca syndrome. (Id.) Dr. Martorell

indicated that Plaintiff reported these symptoms began in 2000 or earlier. (Id.)

He opined that these symptoms had lasted for at least three months and were

related to emotional factors. (Tr. 542-43.) Dr. Martorell indicated that the

severity of Plaintiff’s chronic pain and paresthesia varied from mild to severe.

(Tr. 543.) Plaintiff had 18 out of 18 trigger points that were positive for pain upon

palpitation. (Id.) Dr. Martorell indicated that all other possible causes for

Plaintiff’s pain had been ruled out and that Plaintiff was not a malingerer. (Tr.

544.) He noted that imaging studies revealed osteoarthritis, concurrently in the

shoulders, neck, and knees, and a rotator cuff tear. (Id.) Dr. Martorell opined

that Plaintiff’s condition lasted or was expected to last at least 12 consecutive

months. (Id.) He also opined that Plaintiff was likely to be absent from work

about two days per month due to her symptoms. (Id.)

With respect to side effects from medications that could affect Plaintiff’s

ability to work, Dr. Martorell listed drowsiness, dizziness, and mental fogginess.

(Id.) He also opined that Plaintiff would need to take unscheduled breaks of 5-10

minutes, every 45 minutes to an hour, during an 8-hour workday. (Tr. 545.) He

also opined that Plaintiff could occasionally lift 10 pounds or less, and could

rarely carry 20 pounds; could rarely stoop, bend, crouch, crawl, kneel, and climb

stairs, but could never climb ladders; and that she could occasionally look down,

turn her head left to right, look up, and hold her head in a static position. (Id.) He

further stated that Plaintiff had a history of widespread pain for three or more

months, had tension headaches, paresthesia, sleep disturbance, and chronic

fatigue. (Tr. 546.) Dr. Martorell opined that Plaintiff had the following limitations

and abilities: she could only work one hour per day; could only stand for 15

minutes at one time; could not stand more than one hour during an eight-hour

workday; could only sit for 15 minutes at one time and for a total of 60 minutes in

an eight-hour workday; she could not lift any weight at all during an eight-hour

workday; and she could never bend, stoop, or raise her arms over her shoulders.

(Id.)

C. The ALJ’s Decision

At step two of the five-step sequential evaluation process,4 the ALJ found

that Plaintiff had the following severe impairments: fibromyalgia, bilateral knee

osteoarthritis, and sleep apnea. (Tr. 13 (internal citation omitted).) The ALJ

found the following conditions to be, at most, non-severe impairments: migraines,

high cholesterol, arthritis other than osteoarthritis in her knees, obesity, cervical

and thoracic spine degenerative disc disease, bilateral shoulder condition,

diabetes mellitus, and hearing loss. (Id.) At step three, the ALJ determined that

Plaintiff did not have an impairment or combination of impairments that met or

medically equaled the severity of one of the listed impairments in 20 C.F.R. Part

404, Subpart P, Appendix 1. (Tr. 15.)

The ALJ then found that, through the date of the decision, Plaintiff had the

4 The Commissioner employs a five-step process in determining disability. See

20 C.F.R. § 404.1520(a)(4)(i)-(v).

Residual Functional Capacity (“RFC”) to perform no greater than sedentary work,

with the following limitations:

[Plaintiff] could not climb ladders, ropes, or scaffolds and would be

limited to performing all other postural activities on an occasional

basis (climbing ramps and stairs, balancing, stooping, kneeling,

crouching, and crawling)[.] [Plaintiff] would also need to avoid

concentrated exposure to temperature extremes and also workplace

hazards, such as unprotected heights or dangerous machinery.

(Tr. 16.) In making this finding, the ALJ considered, inter alia, Plaintiff’s

subjective complaints and testimony, the objective medical evidence, as well as

the opinions of treating, examining, and non-examining sources. (Tr. 16-22.)

The ALJ found that Plaintiff’s medically determinable impairments could

reasonably be expected to cause the alleged symptoms, but that Plaintiff’s

“statements concerning the intensity, persistence and limiting effects of th[e]

symptoms [were] not entirely consistent with the medical evidence and other

evidence.”5 (Tr. 17.) Specifically, the ALJ noted that Plaintiff’s statements about

5 The ALJ noted that Plaintiff initially alleged disability based on fibromyalgia,

migraines, arthritis, sleep apnea, neuropathy, and high cholesterol. (Tr. 17.) Plaintiff

reported that her migraine and fibromyalgia pain worsened in cold weather. (Id.)

Plaintiff also reported having “cognitive dysfunction, memory loss, confusion, and

concentration problems due to fibromyalgia and possible multiple sclerosis, although the

ALJ noted that the evidence did not support a finding of multiple sclerosis as a medically

determinable impairment. (Id.) The ALJ also noted that Plaintiff prepared meals,

cleaned, shopped in stores and online, and sometimes drove. (Id.) Plaintiff reported

that she felt bad almost all day, but her headaches had improved. (Id.) In September

2015, Plaintiff reported “continuous left-side pain from the base of her skull to her left

leg”. (Id.)

The ALJ then summarized Plaintiff’s testimony and subjective complaints, in part,

as follows:

The claimant testified she is 5’5” tall and weighs 160 pounds equivalent to

a BMI of 26.6, in the “overweight” range. She is right[-]handed. She has a

driver’s license and drive[s] three to four times per month. She is able to

the intensity, persistence, and limiting effects of her symptoms “were inconsistent

because the physical examinations . . . showed full range of motion in all

extremities, which [was] inconsistent [with] her testimony that she [had] trouble

moving her left arm too high or behind her.” (Id.) The ALJ also pointed out that

Plaintiff’s memory had “been assessed as being good, contrary to her testimony.”

(Id.) Moreover, the ALJ noted that “Dr. Martorell consistently describe[d]

[Plaintiff] as well-appearing (Exhibit 20F) and note[d] that she was continuing to

maintain a regular aerobic exercise routine with yoga.” (Tr. 17-18.)

In evaluating Plaintiff’s impairments, the ALJ assessed the medical

evidence, and noted that Plaintiff’s “fibromyalgia, bilateral knee osteoarthritis, and

sleep apnea [were] reflected in the sedentary exertional level and postural

environmental limitations in the above [RFC].” (Tr. 19.) The ALJ also considered

the opinions of a number of treating, examining, and non-examining sources.

tend to personal care and some days she cooks and some days she

prepares frozen meals. Her family helps her with chores and she wears

the same color clothes so she only needs to do one load of laundry.

During the day, she sits with her dog in the back yard and watches

television, and some days she waters her plants. She goes to church with

a friend and does an online Bible study on the computer. She stopped

working because she was having problems with her memory and

confusion. She testified she is unable to work due to fibromyalgia pain

that got worse in 2008. The pain never goes away on the left side of her

body. She also has osteoarthritis, primarily in the neck, shoulder[s],

hands, and knees. She testified that tramadol makes her dizzy and

amitriptyline maker her feel drugged. She uses a CPAP machine due to

sleep apnea, Salonpas patches, an electric massager for pain, and when

she can afford it, acupuncture. She uses a cane more often now because

her leg will give out. She testified she cannot reach too high or to the back

with her left hand.

(Tr. 17.)

(Tr. 19-22.) In particular, the ALJ summarized and evaluated the opinions of Dr.

Martorell as follows:

I give no significant weight to the August 2017 opinions in Dr.

Martorell’s fibromyalgia questionnaire. Exhibit 18F. He wrote that

the claimant could work one hour per day, occasionally lift up to 10

pounds, could not bend or stoop, and would have about two

absences per month. Id. at 3-5. These opinions are entirely

inconsistent with Dr. Martorell’s recent examination findings from

May 2017, the most recent appointment with Dr. Martorell prior to

completing the form. See id. at 1. In that examination, Dr. Martorell

wrote that the claimant was well appearing, fully oriented,

ambulating without difficulty, and she had normal shoulder range of

motion and normal neck range of motion. Exhibit 20F/1. These

findings are not consistent with the extreme restrictions identified by

Dr. Martorell.

(Tr. 21.)

The ALJ also gave little weight to “Dr. Martorell’s October 2016 note that

stated the claimant was unable to perform jury duty due to a chronic

medical/physical impairment that significantly affected [her] mobility or ability to

remain immobile for prolonged periods.” (Id.) The ALJ explained that this

opinion was “not well[-]supported by Dr. Martorell’s records or the medical

evidence as a whole[,]” and that “same month, Dr. Martorell noted that the

claimant was maintaining an exercise routine with a treadmill and yoga for 30 to

60 minutes.” (Id.) The ALJ noted that Dr. Martorell “reported she was well

appearing, ambulated without difficulty with a cane and had only ‘mild’ tender

points.” (Id.) Moreover, the ALJ noted that Dr. Martorell had written in January

2017 that there was radiographic evidence that Plaintiff had “generalized

osteoarthritis, but no significant restriction of pain related to this at the time.” (Id.)

The ALJ also noted that, “[s]imilarly, Dr. Irfan wrote in July and December 2016

and May 2017 that the claimant had a normal gait.” (Id.)

In sum, the ALJ concluded that:

[T]he [RFC] assessment is supported by the overall evidence of

record, the opinions of the State agency consultants, and the

claimant’s ability to perform various activities, including tending to

personal care, cooking, doing limited laundry, shopping, and going

to church with a friend. Examinations show full range of motion in all

extremities. Exhibits 9F; 20F. Dr. Martorell consistently described

the claimant as well-appearing (Exhibit 20F), and noted that she was

continuing to maintain a regular aerobic exercise routine with a

treadmill and yoga. Exhibit 16F. Furthermore, the claimant’s

memory has been assessed as being good. Exhibits 4F; 17F.

Although the claimant is sometimes reported to use a cane, she also

was described as ambulating normally, and there is no indication

that this would affect her ability to perform sedentary work. In

addition, although the claimant was described by Dr. Martorell as

using a cane to ambulate normally in May 2017 (Exhibit 20F/1), one

week earlier[,] Dr. Irfan reported she had a normal gait without

mention of a cane. Exhibit 19F/3. This suggests that the claimant is

capable of walking without a cane.

(Tr. 22-23.) The ALJ also concluded that, despite her limitations, the evidence

supported a finding that Plaintiff “would be capable of performing work within the

restrictions of the” RFC, and that the ALJ had considered the “waxing and

waning nature of fibromyalgia and other issues in evaluating this condition, as

described in SSR 12-2p.” (Id.)

The ALJ then determined that, based on the testimony of the vocational

expert (“VE”), Plaintiff was capable of performing past relevant work as a

reservation clerk, and that this work did not require Plaintiff to perform work-

related activities precluded by the RFC. (Tr. 22.) Thus, the ALJ found that

Plaintiff was not disabled at any time from September 23, 2014, the alleged onset

date, through October 31, 2017, the date of the decision. (Tr. 22-23.)

D. Analysis

The undersigned finds that the ALJ’s reasoning for discounting Dr.

Martorell’s opinions, that they were “entirely inconsistent with Dr. Martorell’s

recent examination findings from May 2017, the most recent appointment with

Dr. Martorell prior to completing the form,” was not supported by substantial

evidence. The ALJ further noted that “in that examination, Dr. Martorell wrote

that the claimant was well[-]appearing, fully oriented, ambulating without

difficulty, and she had normal shoulder range of motion and normal neck range of

motion” and concluded that “[t]hese findings [were] not consistent with the

extreme restrictions identified by Dr. Martorell.” (Tr. 21.) According to Plaintiff,

the ALJ failed to provide good cause for rejecting Dr. Martorell’s opinion and

argues that the May 2017 treatment notes were consistent with Dr. Martorell’s

opinions. The undersigned agrees with these observations.

Here, the objective findings in Dr. Martorell’s report dated May 24, 2017,

showed, inter alia, bilateral tender points, mild tender points on occiput, low

cervical, trapezius, supraspinatus, second rib, lateral epicondyle, gluteal, greater

trochanter, knee medial fat pad, she had tender upper trapezium trigger, and was

using a cane. (Tr. 570.) That same day, Dr. Martorell administered an intra-

articular corticosteroid injection into the affected area due to the severity of

Plaintiff’s pain. (Id.)

Moreover, the treatment records also consistently demonstrate severe or

moderate pain levels. (See, e.g., Tr. 542-43 (noting mild to severe pain); Tr. 572

(noting, on May 11, 2017, that Plaintiff’s pain was severe with a pain score of 7-

10/10); Tr. 630 (noting, on August 11, 2015, that Plaintiff’s pain was moderate

with a score of 4-6/10).) Plaintiff’s treatment included analgesics, muscle

relaxers, physical therapy, home exercises, acupuncture, and epidural steroid

injections. (See, e.g., Tr. 461, 541, 570-71, 574-75, 587; but see Tr. 630 (noting,

on August 11, 2015, that she could not afford Fibrofit therapy).) Plaintiff

experienced little or no more than temporary relief from pain management

techniques. (See, e.g., Tr. 570 (“Given the severity of pain that does not improve

with the use of physical therapy and traditional analgesics to the patient[’s]

satisfaction, as well as the cardiovascular, GI and renal risks associated with

chronic NSAID’s use, we discussed intra-articular corticosteroid injection of the

affected site as a reasonable treatment option.”); Tr. 575 (“Given the severity of

pain that does not improve with the use of physical therapy and traditional

analgesics . . . we discussed intra-bursa corticosteroid injection of the affected

site as a reasonable treatment option.”); Tr. 580 (noting, on January 23, 2017,

that Plaintiff reported “not much improvement of pain after receiving [an]

intramuscular injection in the left trapezius during the last encounter”); see also

Tr. 585, 596, 606 (same).)

As a treating physician, Dr. Martorell’s opinions were entitled to substantial

weight. See 20 C.F.R. § 404.1527; see also Lewis v. Callahan, 125 F.3d 1436,

1440 (11th Cir. 1997). Moreover, “the ALJ must provide ‘good cause’ for

rejecting a treating physician’s medical opinions.” Lawton v. Comm’r of Soc.

Sec., 431 F. App’x 830, 833 (11th Cir. 2011) (per curiam). Although Dr.

Martorell’s opinions appear to support Plaintiff’s testimony, the ALJ discounted

these medical opinions as inconsistent with Dr. Martorell’s own record dated May

24, 2017. However, Dr. Martorell’s May 24, 2017 treatment notes, as well as

other medical evidence of record, tend to support Dr. Martorell’s opinion. See

Meek v. Astrue, No. 3:08-cv-317-J-HTS, 2008 WL 4328227, at *1 (M.D. Fla.

Sept. 17, 2008) (“Although an ALJ need not discuss all of the evidence in the

record, he may not ignore evidence that does not support his decision . . . .

Rather, the judge must explain why significant probative evidence has been

rejected.”) (internal citations omitted); Lord v. Apfel, 114 F. Supp. 2d 3, 13

(D.N.H. 2000) (stating that although the Commissioner is not required to refer to

every piece of evidence in his decision, the Commissioner may not ignore

relevant evidence, particularly when it supports the claimant’s position).

The ALJ’s conclusion that Dr. Martorell’s opinions were inconsistent with

his own May 2017 treatment record, or the record as a whole, is not supported by

substantial evidence. Additionally, a “hallmark” of fibromyalgia is a lack of

objective evidence and, therefore, it is a condition that is “generally diagnosed

mostly on an individual’s described symptoms.” Moore v. Barnhart, 405 F.3d

1208, 1211 (11th Cir. 2005). The Court agrees that the ALJ’s reasoning for

dismissing Dr. Martorell’s opinions does not constitute good cause. In the

absence of an adequate explanation or reasoning for discounting Dr. Martorell’s

opinions, it is impossible for the Court “to determine whether the ultimate

decision on the merits of the claim is rational and supported by substantial

evidence.” Winschel, 631 F.3d at 1179 (also noting that “when the ALJ fails to

state with at least some measure of clarity the grounds for his decision, [the

Court] will decline to affirm simply because some rationale might have supported

the ALJ’s conclusion”).

In light of this conclusion and the possible change in the RFC, the Court

need not address Plaintiff’s remaining arguments. See Jackson v. Bowen, 801

F.2d 1291, 1294 n.2 (11th Cir. 1986) (per curiam); Freese v. Astrue, 2008 WL

1777722, at *3 (M.D. Fla. Apr. 18, 2008); see also Demenech v. Sec’y of the

Dep’t of Health and Human Servs., 913 F.2d 882, 884 (11th Cir. 1990) (per

curiam). The ALJ will be directed to reconsider the opinions of Dr. Martorell in

light of the record as a whole, state the weight they are accorded, and the

reasons therefor.

Accordingly, it is ORDERED:

1. The Commissioner’s decision is REVERSED pursuant to sentence

four of 42 U.S.C. § 405(g) and REMANDED with instructions to the ALJ to: (a)

reconsider the opinions of Dr. Martorell, explain what weight his opinions are

being accorded, and the reasons therefor; (b) reconsider the RFC assessment, if

necessary; and (c) conduct any further proceedings deemed appropriate.

2. The Clerk of Court is directed to enter judgment accordingly,

terminate any pending motions, and close the file.

3. In the event that benefits are awarded on remand, any § 406(b) or §

1383(d)(2) fee application shall be filed within the parameters set forth by the

Order entered in /n re: Procedures for Applying for Attorney’s Fees Under 42

U.S.C. §§ 406(b) & 1383(d)(2), Case No.: 6:12-mc-124-Orl-22 (M.D. Fla. Nov.

13, 2012). This Order does not extend the time limits for filing a motion for

attorney’s fees under the Equal Access to Justice Act, 28 U.S.C. § 2412.

DONE AND ORDERED in Jacksonville, Florida, on March 31, 2020.

UNITED STATES MAGISTRATE JUDGE

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