“Where conflicting evidence allows reasonable minds to differ as to whether a claimant is disabled, the responsibility for that decision falls on the [ALJ].”
How later courts described this case
- “Where conflicting evidence allows reasonable minds to differ as to whether a claimant is disabled, the responsibility for that decision falls on the [ALJ].”
- applying the treating physician rule
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF NORTH CAROLINA
CHARLOTTE DIVISION
CIVIL ACTION NO. 1:22-CV-00193-KDB-DCK
GOBLE MCGUIRE, JR.,
Plaintiff,
v. ORDER
KILOLO KIJAKAZI, Acting
Commissioner of Social Security,
Defendant.
THIS MATTER is before the Court on Plaintiff Goble McGuire, Jr.’s Motion for
Summary Judgment (Doc. No. 13) and Defendant's Motion for Summary Judgment (Doc. No. 17).
Plaintiff, through counsel, seeks judicial review of an unfavorable administrative decision denying
his application for disability insurance benefits under the Social Security Act.
Having reviewed and considered the parties’ briefs, the administrative record, and the
applicable authority, and for the reasons set forth below, the Court finds that Defendant's decision
to deny Plaintiff Social Security benefits is supported by substantial evidence. Accordingly,
Plaintiff's Motion for Summary Judgment will be DENIED; Defendant's Motion for Summary
Judgment will be GRANTED; and the Commissioner's decision AFFIRMED.
I. BACKGROUND
On May 17, 2012, Plaintiff applied for disability insurance benefits under Title II of
the Social Security Act, alleging disability beginning August 17, 2008. (Tr. 148-149). Plaintiff was
last insured for Title II benefits on December 31, 2009. (Tr. 1387). Plaintiff's application was
denied on its first review and upon reconsideration. (Tr. 122-133). On November 13, 2020, the
Appeals Council remanded the case and directed the ALJ (“Administrative Law Judge”) to resolve
an inconsistency between the jobs identified by the Vocational Expert and the residual functional
capacity (“RFC”) in its prior decision. (Tr. 1506-1507). After conducting a further telephone
hearing on November 18, 2021, ALJ Jerry W. Peace denied Plaintiff's application in a decision
dated December 8, 2021. (Tr. 1385-1396). The Appeals Council denied Plaintiff's request for
review and the ALJ's decision now stands as the final decision of the Commissioner. (Tr. 1374-
1378). Plaintiff has timely requested judicial review under 42 U.S.C § 405(g).
II. THE COMMISSIONER’S DECISION
The ALJ followed the required five-step sequential evaluation process established by
the Social Security Administration (“SSA”) to determine whether Mr. McGuire was disabled
under the law during the relevant period.1 At step one, the ALJ found that the Plaintiff had not
engaged in substantial gainful activity since the alleged onset date and through the date last insured
(20 CFR 404.1571, et seq., and 416.971, et seq). At step two, the ALJ found that he had the
following severe impairments: spine disorder, carpal tunnel syndrome, intellectual disorder, and
depression. (20 CFR 404.1520(c) and 416.920(c)). (Tr. 1387). However, at step three, the ALJ
found that none of Plaintiff's impairments, nor any combination thereof, met, or equaled one of the
conditions in the Listing of Impairments at 20 C.F.R. Pt. 404, Subpt. P, App. 1. (Tr. 1399).
1 The required five-step sequential evaluation required the ALJ to determine: (1) whether the
claimant was engaged in substantial gainful activity; (2) if not, whether the claimant had a severe
impairment; (3) if so, whether the impairment (or combination of impairments) met or equaled a
listed impairment; (4) if not, whether the impairment (or combination of impairments) prevented
the claimant from performing past relevant work; and (5) if so, whether the impairment (or
combination of impairments) prevented the claimant from performing any other jobs available in
significant numbers in the national economy. 20 C.F.R. §§ 416.920(a)-(g) and 404.1520(a)-(g).
The claimant has the burden of production and proof in the first four steps, but under step five the
Commissioner must prove the claimant can perform other work in the national economy despite
his limitations. Pearson v. Colvin, 810 F.3d 204, 207 (4th Cir. 2015).
Before proceeding to step four, the ALJ determined that Mr. McGuire had the following
RFC:
to perform light work as defined in 20 CFR 404.1567(b) except that he could lift
and carry up to 20 pounds occasionally and up to 10 pounds frequently. He could
stand or walk for approximately 6 hours in an 8-hour workday and sit for
approximately 6 hours in an 8-hour workday with normal breaks. He could never
climb ladders, ropes, or scaffolds. He could never occasionally climb ramps or
stairs, stoop, crouch, kneel, or crawl. He was limited to frequent bilateral handling
and fingering. He was limited to frequent use of moving machinery and frequent
exposure to unprotected heights. He was limited to simple, routine, and repetitive
tasks, performed in a work environment free of fast-paced production requirements,
involving only simple, work-related decisions, and with few, if any, workplace
changes. He could learn simple vocational tasks and complete them at an adequate
pace with persistence in a vocational setting. He could perform simple tasks for 2-
hour blocks of time with normal rest breaks during an 8-hour workday, with only
occasional interaction with the public.
(Tr. 1391). At step four, the ALJ found that Plaintiff could not perform his past relevant work as a
welder (DOT Code 819.384-010), medium with an SVP of 6 required by SSR 82-62. (Tr. 1395).
However, at step five, the ALJ found that there were other jobs existing in significant numbers in
the national economy that Plaintiff could perform based on his age, education, work experience,
and RFC. (Tr. 1395-96). These jobs include: (1) Inserting Machine Operator (DOT Code 208.686-
018), light with an SVP and reasoning level of 2; (2) Folder (DOT Code 369.687-018), light with
an SVP and reasoning level of 2; and (3) Foiling-Machine Operator (DOT Code 692.685-087),
light with an SVP of 2 and a reasoning level of 1. (Tr. 1395-1396).
Thus, the ALJ found that Plaintiff was not disabled under the Social Security Act from
August 17, 2008, through December 31, 2009, the date Plaintiff was last insured. (Tr. 1396).
III. LEGAL STANDARD
The legal standard for this Court's review of social security benefit determinations is well
established. See Shinaberry v. Saul, 952 F.3d 113, 120 (4th Cir. 2020). “The Social Security
Administration (SSA) provides benefits to individuals who cannot obtain work because of a
physical or mental disability. To determine whether an applicant is entitled to benefits, the agency
may hold an informal hearing examining (among other things) the kind and number of jobs
available for someone with the applicant's disability and other characteristics. The agency's factual
findings on that score are ‘conclusive’ in judicial review of the benefits decision so long as they
are supported by ‘substantial evidence.’” Biestek v. Berryhill, ––– U.S. ––––, 139 S. Ct. 1148,
1151-52, 203 L.Ed.2d 504 (2019) (quoting 42 U.S.C. § 405(g)).
“Under the substantial-evidence standard, a court looks to an existing administrative record
and asks whether it contains sufficient evidence to support the agency's factual determinations.”
Id. at 1154 (internal quotation marks and alteration omitted). “[T]he threshold for such evidentiary
sufficiency is not high. Substantial evidence ... is more than a mere scintilla.2 It means—and means
only—such relevant evidence as a reasonable mind might accept as adequate to support a
conclusion.” Id. (internal quotation marks and citations omitted). Accordingly, this Court does not
review a final decision of the Commissioner de novo, Smith v. Schweiker, 795 F.2d 343, 345 (4th
Cir. 1986), and must affirm the Social Security Administration's disability determination “when
[the] ALJ has applied correct legal standards and the ALJ's factual findings are supported by
substantial evidence.” Shinaberry, 952 F.3d at 120 (internal citations omitted); see also Hays v.
Sullivan, 907 F.2d 1453, 1456 (4th Cir. 1990); Johnson v. Barnhart, 434 F.3d 650, 653 (4th Cir.
2005) (“Where conflicting evidence allows reasonable minds to differ as to whether a claimant is
disabled, the responsibility for that decision falls on the [ALJ].”).
Thus, this Court may not weigh the evidence again, nor substitute its judgment for that of
the Commissioner, assuming the Commissioner's final decision is supported by substantial
evidence. See Hays, 907 F.2d at 1456. “In reviewing for substantial evidence” in support of an
ALJ's factual findings, “[the reviewing court] do[es] not undertake to reweigh conflicting
evidence, make credibility determinations, or substitute [its] judgment for that of the ALJ.”
Hancock v. Astrue, 667 F.3d 470, 472 (4th Cir. 2012) (internal quotation marks and alteration
omitted). Rather, “[w]here conflicting evidence allows reasonable minds to differ as to whether a
claimant is disabled,” the court defers to the ALJ's decision. Id. (internal quotation marks omitted);
Shinaberry, 952 F.3d at 123. This is true even if the reviewing court disagrees with the outcome—
so long as there is “substantial evidence” in the record to support the final decision below. Lester
v. Schweiker, 683 F.2d 838, 841 (4th Cir. 1982). However, notwithstanding this limited standard
of review of the Commissioner's factual determinations, in all cases the Court must always ensure
that proper legal standards are being followed.
IV. DISCUSSION
Plaintiff makes two arguments against the ALJ’s conclusion that he is not disabled. First,
Plaintiff argues that the ALJ’s RFC is not supported by substantial evidence because the ALJ failed
to evaluate Plaintiff’s alleged intellectual and mental health limitations. Specifically, Plaintiff
contends that the ALJ failed to properly weigh the adverse medical opinion of Plaintiff’s clinical
psychological examiner, Dr. Deborah Barnett, and failed to evaluate testing data and school
records showing lifelong intellectual functional limitations. Second, Plaintiff contends that the ALJ
failed to evaluate the testimony regarding the continued chronic pain experienced by Plaintiff.
With respect to the Plaintiff’s first argument, the Court finds that the ALJ did not err in
evaluating the testing data that Dr. Barnett provided. When determining a claimant's disability
status, the ALJ is required to consider the medical opinions of the claimant's treating physicians.
See 20 C.F.R. § 404.1527(b) (“[W]e will always consider the medical opinions in [a claimant's]
case record.”). Section 404.1527(c) establishes the “treating physician rule,”2 whereby the medical
opinion of a treating physician is entitled to “controlling weight” if 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.” See, e.g., Arakas v. Comm'r of Soc. Sec., 983 F.3d
83, 106–07 (4th Cir. 2020) (applying the treating physician rule); Brown v. Comm'r of Soc. Sec.,
873 F.3d 251, 255–56 (4th Cir. 2017) (same). “By negative implication, if a physician's opinion is
not supported by clinical evidence or if it is inconsistent with other substantial evidence, it should
be accorded significantly less weight.” Craig v. Chater, 76 F.3d 585, 590 (4th Cir. 1996). In such
cases, the ALJ must then consider each of the factors laid out by 20 C.F.R. § 404.1527(c)(2) in
determining the proper weight of the opinion.3 Dowling v. Comm'r of Soc. Sec., 986 F.3d 377, 385
(4th Cir. 2021). While the ALJ is not required to set forth a detailed factor-by-factor analysis, it
must be clear from the decision that the ALJ meaningfully considered each of the factors before
determining how much weight to give the opinion. Id.
In discussing Dr. Barnett’s opinion, the ALJ stated:
I give Dr. Barnett’s opinions little weight, as they are inconsistent with the record
during the relevant period. Dr. Barnett did not see the claimant prior to January
2019 or at any time during the period at issue. She relied on his subjective reports
2 For claims filed with the SSA after March 27, 2017, the Treating Physician Rule no longer
applies. Plaintiff’s claim was filed on May 17, 2012; therefore, the Treating Physical Rule applies
here. See 20 C.F.R. § 404.1527; Brown v. Comm’r of Soc. Sec., 873 F.3d 251, 255 (4th Cir. 2017).
3 In evaluating a medical opinion, the ALJ is instructed to consider (1) the length of the treatment
relationship and the frequency of examination; (2) the nature and extent of the treatment
relationship; (3) supportability, i.e., the extent to which the treating physician presents relevant
evidence to support the medical opinion; (4) consistency, i.e., the extent to which the opinion is
consistent with the evidence in the record; (5) the extent to which the treating physician is a
specialist opining as to issues related to his or her area of specialty; and (6) any other factors raised
by the parties which tend to support or contradict the medical opinion. 20 C.F.R. §
404.1527(c)(2)(i)–(6).
of his history of symptoms, test results, and school records4, but she gave no
indication that she reviewed any medical records relevant to the period at issue.
During the relevant period, the claimant’s primary care provider, Dr. Pumilia, noted
that his depression was well controlled with Sertraline, and that his mood was good.
Thus, I give Dr. Barnett’s opinions little weight.
(Tr. At 1394). The ALJ also evaluated the relevant treatment notes describing Plaintiff’s mental
impairments, including his depressive symptoms, during the relevant time period. (Tr. 1393-1394).
In short, the ALJ fairly articulated why he did not find Dr. Barnett’s opinions persuasive by
pointing to notes from medical providers and evaluators which tended to show a positive trend of
improvement in Plaintiff’s depression. See id.
Additionally, it was reasonable for the ALJ to give more weight to the opinions of
Plaintiff’s primary care provider, Dr. Paul Pumilia, M.D. Dr. Pumilia treated Plaintiff during 2008,
which is the relevant time period prior to the date last insured. (Tr. 1392). In contrast, Dr. Barnett
did not see Plaintiff until January 2019. (Tr. 1394). Accordingly, the Court finds that the ALJ
properly considered the medical evidence and, in fact, went into substantial detail to point out
discrepancies between the medical opinions for the relevant time period and those after the relevant
period.
Plaintiff also argues that the ALJ failed to evaluate the testing data that showed lifelong
intellectual functional limitations. However, the Court finds that the ALJ addressed what appeared
to be a history of intellectual disorder from Plaintiff’s education records. (Tr. 1393). In doing so,
4 The ALJ describes school records as subjective, but the Court questions that characterization. A
report is subjective when it is “based on an individual’s perceptions, feelings, or intentions, as
opposed to externally verifiable phenomena.” Subjective, BLACK’S LAW DICTIONARY (11th ed.
2019). The school records at issue do not reflect “feelings” and the like; rather the records present
the history of Plaintiff’s school experience. However, whether the school records are “subjective”,
or “objective” is not determinative. As discussed above, the Court agrees that the ALJ has
adequately explained why he believed he accorded Dr. Barnett’s opinion little weight (because it
was not directly relevant to the time period at issue).
the ALJ noted that “there was no evidence of attention or concentration deficits during exams prior
to December 31, 2009, but [rather how] his academic records show he obtained As, Bs, Cs, and
Ds (14E).” (Tr. 1393). The ALJ took this into consideration and found that Plaintiff had a moderate
limitation in concentrating, persisting or maintaining pace, and accounted for this mental limitation
in the RFC and the hypothetical question posted to the vocational expert. (Tr. 1391, 1455-1457).
Thus, the Court finds that the ALJ adequately evaluated Plaintiff’s history of an intellectual
disorder from his education records and accounted for the limitation.
Turning to Plaintiff’s second argument, the Court finds that the ALJ properly considered
Plaintiff’s chronic back pain. Plaintiff relies on Mascio v. Colvin, 780 F.3d 632 (4th Cir. 2015),
but Mascio does not require a remand. Unlike in Mascio, the ALJ here adequately explained how
he reached the limitations in his RFC finding. (Tr. 1394). The ALJ considered both Plaintiff’s
physical and mental impairment limitations and reasoned that “his ability to independently carry
out his activities of daily living, the conservative treatment during the relevant period, and the
control of his symptoms with medication indicate that (sic) could have performed work within
these limitations.” (Tr. 1394). In doing so, the ALJ evaluated all of the evidence for the relevant
time period, which revealed that Plaintiff “had done very well in terms of back pain” and was
“prescribed only conservative treatment” by Dr. Leland Berkwits, M.D., of the Center for Spine
and Joint Wellness. (Tr. 1393). The ALJ further developed the record by explaining the
inconsistencies found between Plaintiff’s testimony and the 2009 physical exam and MRI done by
Dr. Berkwtis, which led to the finding that further interventional treatment would make Plaintiff’s
symptoms worse. (Tr. 1392-1393). Accordingly, the Court finds that the ALJ adequately supported
his decision to attribute less weight to Plaintiff’s statements about the intensity, persistence, and
limiting effects of his back pain and symptoms during the relevant time period.
In sum, after a careful review of the record, the Court finds that the ALJ’s decision is
supported by substantial evidence and that the ALJ built “‘an accurate and logical bridge from the
evidence to [his] conclusion.” Monroe vy. Colvin, 826 F.3d 176, 189 (4th Cir. 2016) (quoting
Clifford v. Apfel, 227 F.3d 863, 872 (7th Cir. 2000)).
IV. ORDER
NOW THEREFORE IT IS ORDERED:
Plaintiff's Motion for Summary Judgment (Doc. No. 13) is DENIED; Defendant's Motion
for Summary Judgment (Doc. No. 17) is GRANTED; and the Commissioner's decision
is AFFIRMED.
SO ORDERED ADJUDGED AND DECREED.
Signed: June 21, 2023
Kenneth D. Bell Cy,
United States District Judge i f