Remanding where the claimant was determined unable to perform sedentary work because he could rarely, if ever, sit for the six or more hours required for sedentary work
How later courts described this case
- Remanding where the claimant was determined unable to perform sedentary work because he could rarely, if ever, sit for the six or more hours required for sedentary work
- Noting a required capacity to sit for six hours in an eight-hour workday to qualify for sedentary work
- finding that “the lay evaluation of an ALJ is not sufficient evidence of the claimant’s work capacity; an explanation of the claimant’s functional capacity from a doctor is required”
- finding that “an ALJ commits legal error when he makes a residual functional capacity determination based on medical reports that do not specifically explain the scope of claimant’s work-related capabilities”
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF NEW YORK
----------------------------------X
RAFAEL D. FIGUEROA,
MEMORANDUM AND ORDER
Plaintiff, 20-cv-2700(KAM)
v.
COMMISSIONER OF SOCIAL SECURITY,
Defendant.
----------------------------------X
KIYO A. MATSUMOTO, United States District Judge:
Pursuant to 42 U.S.C. § 405(g), plaintiff Rafael
Figueroa (“Plaintiff”) appeals the final decision of defendant,
the Commissioner of Social Security (the “Commissioner” or
“Defendant”), which found that Plaintiff was not eligible for
disability insurance benefits under Title II of the Social
Security Act (“the Act”), on the basis that Plaintiff is not
disabled within the meaning of the Act. Plaintiff alleges that
he is disabled under the Act and is thus entitled to receive the
aforementioned benefits.
Presently before the court are Plaintiff’s motion for
judgement on the pleadings (ECF No. 17, “Pl. Mot.”) and
Defendant’s cross-motion for judgement on the pleadings (ECF No.
19, “Def. Cross-Mot.”). For the reasons stated herein,
Plaintiff’s motion is GRANTED, Defendant’s cross-motion is
DENIED, and the case is remanded for further proceedings
consistent with this Memorandum and Order.
BACKGROUND
The parties have submitted a joint stipulation of
relevant facts, which the court hereby incorporates by reference
in its entirety. (See ECF No. 22, Joint Stipulation of Relevant
Facts (“Joint Stip.”).) Having reviewed the joint stipulation
of relevant facts, the Administrative Law Judge’s (“ALJ”)
decision, and the administrative record, the court notes the
following.
I. Prior Applications for Disability Insurance Benefits
Plaintiff Rafael Figueroa previously filed for, and
was denied, disability insurance benefits (“DIB”) on two
occasions. Plaintiff first alleged a disability onset date of
September 7, 2001. (ECF No. 16, Administrative Transcript
(“Tr.”) at 206.) The precise date when Plaintiff’s first
application was denied is not specified in the record, which
indicates only his alleged onset date as well as a shorthand
reason for denial: it was determined Plaintiff retained the
capacity to perform substantially gainful activity in past
relevant work. (Id.) Plaintiff’s second application for DIB
alleged an onset date of December 26, 2011. (Id.) Plaintiff’s
second application was denied on April 15, 2015, and the
justification for denial was the same as in his previous denial.
(Id. at 75, 206.)
II. Plaintiff’s Instant Application for Disability Insurance
Benefits
On March 28, 2017, Plaintiff filed the instant
application for DIB due to major depressive disorder, anxiety
disorder, status post cerebrovascular accident (“CVA”) with
residuals, and a hearing impairment. (Id. at 19, 88.) The
alleged onset of Plaintiff’s disability was April 16, 2015, the
day after the denial of his second application for DIB.
(Id. at 185, 206.) Plaintiff claims he was disabled following a
stroke he suffered in 2011 and that his condition has worsened
over time. (Joint Stip. at 12.)
On July 28, 2017, the Social Security Administration
(“SSA”) denied Plaintiff’s request for DIB, concluding that the
relevant medical evidence showed Plaintiff was not disabled
within the meaning of the Act over the relevant period. (Id. at
91-102.) On September 2, 2017, Plaintiff filed a request for a
hearing before an ALJ, which was held before ALJ Sandra M.
McKenna on December 21, 2018 in Queens, New York. (Id. at 103-
104, 38-69.) Christine Ditrinco, a vocational expert, provided
testimony during Plaintiff’s hearing. (Id. at 61-69.) In a
decision dated February 19, 2019, ALJ McKenna found the
following: (1) Plaintiff remained insured only through December
31, 2015 (“the date last insured”), requiring Plaintiff to
establish disability on or before the date last insured to be
entitled to a period of disability and disability insurance
benefits; and, (2) Plaintiff was not disabled within the meaning
of the Act. (Id. at 13-37.) On February 25, 2019, Plaintiff
requested review of the ALJ’s decision with the Appeals Council,
which was denied on April 14, 2020, thereby making the ALJ’s
decision the final decision of the Commissioner. (Id. at 1-5,
175-184). On June 17, 2020, Plaintiff timely filed the instant
action in federal court appealing the Commissioner’s decision.
(ECF No. 1, Complaint (“Compl.”).)
III. Medical and Non-Medical Evidence
A. Consultative Examiner Opinion of Dr. Chaim Shtock
On October 20, 2014, Dr. Chaim Shtock, D.O., a SSA
consultative examiner, determined that Plaintiff could sit
continuously for forty-five minutes and for only four hours
total in an eight-hour workday. (Tr. at 271; Joint Stip. at
10.) Dr. Shtock indicated that Plaintiff demonstrated slightly
slow speech, slow and slightly unsteady gait, use of a cane,
grip strength 4+/5 bilaterally, and strength 4+/5 in proximal
and distal muscles. (Tr. at 265-276.) Dr. Shtock diagnosed
Plaintiff with gait dysfunction as well as, by history, brain
tumor, stroke, numbness, decreased balance, decreased short-term
memory, depression, anxiety, decreased comprehension and
concentration, episodic fatigue, episodic difficulty swallowing,
episodic speech problems, psoriasis, acid reflux, and genital
herpes. (Id.)
B. Medical Treatment and Opinion of Treating Physician
Dr. Hasit Thakore
On May 13, 2015, Dr. Hasit Thakore, M.D., a board-
certified neurologist at TJH Medical Services who had been
treating Plaintiff since his stroke in 2011, determined in a
stroke impairment questionnaire that Plaintiff suffered from a
CVA in 2011 as well as from brain tumor surgery between the ages
of seven to eight, from which he experienced residual brain
damage and a brain shunt. (Tr. at 283.) Dr. Thakore opined
that Plaintiff’s prognosis for recovery to full or partial
functioning was poor. (Id.) In support of his diagnosis, Dr.
Thakore identified the following positive clinical findings:
paresthesia in the right half of the body, tremor or involuntary
movement in the upper right half of the body, ataxia requiring a
cane to ambulate, decreased sensation on the right side,
aphasia, dysarthria, slow speech, and forgetfulness at times.
(Id. at 284.) Dr. Thakore identified the following laboratory
and diagnostic test results to support his diagnosis: MRI, CT
scan, and clinical exam. (Id.) Dr. Thakore identified the
following symptoms: poor coordination, headaches, difficulty
remembering, weakness, unstable walking, numbness, sensory
disturbance, fatigue, speech/communication difficulties,
difficulty concentrating, and ataxia. (Id. at 284-285.) Dr.
Thakore indicated Plaintiff’s symptoms and functional
limitations were reasonably consistent with Plaintiff’s physical
and emotional impairments, and that Plaintiff had significant
and persistent disorganization of motor function in two
extremities resulting in sustained disturbance of gross and
dexterous movement or gait and station as a result of his CVA.
(Id. at 286-286.) Dr. Thakore, asked to estimate Plaintiff’s
residual functional capacity (“RFC”) if placed in a competitive
five day a week work environment on a sustained basis, failed to
circle (as instructed) how many hours plaintiff could sit,
stand, or walk in an eight-hour day, instead writing-in next to
the question that Plaintiff was “disabled to work.” (Id. at
286.) Dr. Thakore noted that in the context of a competitive
five day a week work environment on a sustained basis, Plaintiff
could never lift or carry zero to five pounds. (Id.) Dr.
Thakore indicated that Plaintiff was incapable of even “low
stress” work because of his brain surgery and CVA, which would
produce “good days” and “bad days,” and when asked to estimate
how often Plaintiff would be absent from work as a result of his
impairments wrote: “[Plaintiff has] chronic daily symptoms and
is disabled to work.” (Id. at 287.)
On July 15, September 16, October 7, and December 16,
2015, Plaintiff was seen by Dr. Thakore, who reported no change
in diagnosis and no improvement from Plaintiff’s disability from
CVA, brain tumor, and chronic genital herpes. (Id. at 307, 310,
313.) On October 7, 2015 Plaintiff received an additional head
CT scan, which demonstrated a suboccipital craniectomy,
calcifications inferiorly along the right cerebellar hemisphere,
severe cerebellar atrophy, ex vacuo dilation of the fourth
ventricle, a ventricular shunt via a right frontal approach
demonstrating a tip projecting over the frontal horn of the
right lateral ventricle, and a prior ventriculostomy on the
contralateral frontal lobe. (Id. at 340.) Plaintiff was seen
multiple times over the next two and a half years after the date
last insured by Dr. Thakore and other doctors at TJH Medical
Services with no noted improvements. (See id. 340-359.)
C. Medical Treatment and Opinion of Dr. Pedro D. Ong
On May 8, 2015, Dr. Pedro D. Ong, M.D. completed a
disability impairment questionnaire. (Tr. at 277-281.) As is
also the case with Dr. Ong’s treatment records from January 2,
2015 - May 3, 2017, much of Dr. Ong’s diagnoses and reported
symptoms are illegible. (Id. at 277-281, 372-376.)
Nevertheless, Dr. Ong clearly wrote that he does not perform
functional evaluations and “slashed through” the questionnaire—
or otherwise left responses to its questions blank—relating to
Plaintiff’s functional limitations, including Plaintiff’s
ability to sit during an eight-hour workday. (Id. at 279.) In
an electronic message on September 6, 2017, Dr. Ong reaffirmed
that he does not perform functional evaluations. (Id. at 414.)
D. Medical Treatment and Opinion of Dr. Elaine Schiesel
On February 8, 2017, Plaintiff was seen by Dr. Elaine
Schiesel, M.D., a doctor at Jamaica Hospital Medical Center, for
a follow up neurosurgery clinic visit. (Id. at 362-363.) Dr.
Schiesel’s progress notes indicated Plaintiff had a history of
medullary CVA “now with residual ataxia, weakness, numbness, and
dysphagia.” (Id. at 362.) Dr. Schiesel performed an
examination and determined the following: 5/5 strength in upper
and lower extremities, except for lower extremity flexion, which
was 4-5/5; 1-2/2 reflexes; and intact cranial nerves. (Id. at
323.)
E. Consultative Opinion of Dr. James Greco
On July 8, 2017 Dr. James Greco, M.D., a Disability
Determination Services (“DDS”) medical consultant, provided a
consultative examination of the record. (Id. at 74-76.) Dr.
Greco noted the following: Plaintiff was 38 years old, had a
brain tumor at age 8 with a ventriculoperitoneal shunt placed at
that time, and had a medullary stroke in December of 2012 with
residual ataxia, weakness, numbness, and dysphagia. (Id. at
75.) Dr. Greco also noted Plaintiff had recent onset hearing
loss in his right ear with 4% speech discrimination, while his
left ear hearing remained normal with a 100% speech
discrimination score. (Id.) Dr. Greco opined that findings
from Plaintiff’s March 3, 2017 examination with Dr. Thakore were
“markedly different from those described” with Dr. Schiesel on
February 8, 2017, but that there was no indication of any
neurologic event since December 2012, no medical reason to think
Plaintiff’s stroke residuals would have changed over time, and
no history of an event that could reasonably explain the
difference between the February and March 2017 exam findings.
(Id.) Dr. Greco indicated that neither of the exam findings
would satisfy the criteria of Listing 11.04(B)1 but recommended
DDS to obtain a current neurologic exam to clarify Plaintiff’s
neurologic status. (Id.)
Two days later, on July 10, 2017, Dr. Greco indicated
that additional evidence was necessary to clarify Plaintiff’s
neurologic status considering the difference in neurologic exam
findings from the treating sources in February and March of
2017. (Id. at 76.) Dr. Greco noted that Plaintiff’s date last
insured was in December of 2015 and that, therefore, obtaining
the requested clarification “will not help to assess claimant’s
clinical or functional status at his date last insured.” (Id.)
1 The term “Listing” refers to the listed impairments in Title 20, Code of
Federal Regulations (“C.F.R.”) Part 404, Subpart P, Appendix 1, including
vascular insult to the brain under Listing 11.04.
Dr. Greco further stated that “evidence now in file is
insufficient to evaluate claimant’s condition prior to [the]
date last insured, but the detailed neurologic exam performed at
[the] neurosurgery clinic visit with Dr. Schiesel on February 8,
2017, strongly suggests that Listing 11.04(B) was not met at the
date last insured.” (Id.)
F. Plaintiff Testimony
Plaintiff testified that he has not worked since his
first stroke in 2011 and that his condition has worsened over
time. (Joint Stip. at 12; Tr. at 50.) When asked, Plaintiff
responded that he could walk for half an hour with a cane for a
total distance of one or two blocks and that he could sit for 10
or 15 minutes before needing to move because his back felt
tightened. (Tr. at 50-51, 57.) When asked if he believes he
would be able to perform a job sitting down, Plaintiff responded
that he could not because he is unable to sit continuously.
(Id. at 53.) Plaintiff additionally testified that he does not
believe he could perform a job for eight hours straight because
he would likely fall asleep. (Id. at 54.) Plaintiff explained
that he naps between two and three hours during the day because
of problems he has sleeping at night due to intense back pain,
anxiety, and panic attacks. (Id. at 54-55, 60.) Plaintiff
averred that to relax himself he lies flat down on his back, as
it is the only time he is untroubled by his back pain. (Id. at
55.)
Plaintiff also represented that he lost hearing in his
right ear after his stroke and that his right ear rings
persistently every day, often distracting him. (Id. at 51-52,
59.) Plaintiff testified that he believes he can lift about 10
pounds and that he helps his grandmother with grocery shopping.
(Id. at 52.) Plaintiff testified that his grandmother does his
laundry at home, and that although he can shower and dress
himself, he has to “take [his] time” doing so due to back pain
and forgetfulness. (Id.) Plaintiff also testified that
although he has a driver’s license that he acquired before
suffering his strokes, he has not driven since. (Id. at 56.)
Plaintiff represented that he has problems with communication
because of slurred speech as well as difficulties comprehending
and following conversations. (Id. at 56-57.) Plaintiff also
testified that he has problems with his balance; when he walks
his right leg sometimes either drags behind him or he has
problems picking the leg up, and that his right arm feels weak.
(Id. at 58.)
LEGAL STANDARD
Unsuccessful claimants for disability benefits under
the Act may bring an action in federal district court seeking
judicial review of the Commissioner’s denial of their benefits
“within sixty days after the mailing . . . of notice of such
decision or within such further time as the Commissioner of
Social Security may allow.” 42 U.S.C. §§ 405(g), 1383(c)(3). A
district court, reviewing the final decision of the
Commissioner, must determine whether the correct legal standards
were applied and whether substantial evidence supports the
decision. See Schaal v. Apfel, 134 F.3d 496, 504 (2d Cir.
1998).
A district court may set aside the Commissioner’s
decision only if the factual findings are not supported by
substantial evidence or if the decision is based on legal error.
Burgess v. Astrue, 537 F.3d 117, 127 (2d Cir. 2008).
“Substantial evidence is more than a mere scintilla,” and must
be relevant evidence that a “reasonable mind might accept as
adequate to support a conclusion.” Halloran v. Barnhart, 362
F.3d 28, 31 (2d Cir. 2004) (citing Richardson v. Perales, 420
U.S. 389, 401 (1971)) (internal quotation marks omitted). If
there is substantial evidence in the record to support the
Commissioner’s factual findings, those findings must be upheld.
42 U.S.C. § 405(g). Inquiry into legal error “requires the
court to ask whether ‘the claimant has had a full hearing under
the [Commissioner’s] regulations and in accordance with the
beneficent purposes of the [Social Security] Act.’” Moran v.
Astrue, 569 F.3d 108, 112 (2d Cir. 2009). The reviewing court
does not have the authority to conduct a de novo review and may
not substitute its own judgment for that of the ALJ, even when
it might have justifiably reached a different result. Cage v.
Comm'r of Soc. Sec., 692 F.3d 118, 122 (2d Cir. 2012).
To receive disability benefits, claimants must be
“disabled” within the meaning of the Act. See 42 U.S.C. §§
423(a), (d). A claimant is disabled under the Act when he is
unable 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); Shaw v. Chater, 221 F.3d
126, 131–32 (2d Cir. 2000). The impairment must be of “such
severity” that the claimant is unable to do his previous work or
engage in any other kind of substantial gainful work. 42 U.S.C.
§ 423(d)(2)(A). “The Commissioner must consider the following
in determining a claimant’s entitlement to benefits: ‘(1) the
objective medical facts [and clinical findings]; (2) diagnoses
or medical opinions based on such facts; (3) subjective evidence
of pain or disability . . . ; and (4) the claimant’s educational
background, age, and work experience.’” Balodis v. Leavitt, 704
F. Supp. 2d 255, 262 (E.D.N.Y. 2001) (quoting Brown v. Apfel,
174 F.3d 59, 62 (2d Cir. 1999)).
Pursuant to regulations promulgated by the
Commissioner, a five-step sequential evaluation process is used
to determine whether the claimant’s condition meets the Act’s
definition of disability. See 20 C.F.R. § 404.1520. This
process is essentially as follows:
[I]f the Commissioner determines (1) that the
claimant is not working, (2) that he has a
‘severe impairment,’ (3) that the impairment
is not one [listed in Appendix 1 of the
regulations] that conclusively requires a
determination of disability, and (4) that the
claimant is not capable of continuing in his
prior type of work, the Commissioner must find
him disabled if (5) there is not another type
of work the claimant can do.
Burgess, 537 F.3d at 120 (internal quotation marks and citation
omitted); see also 20 C.F.R. § 404.152(a)(4).
During this five-step process, the Commissioner must
consider whether “the combined effect of any such impairment
. . . would be of sufficient severity to establish eligibility
for Social Security benefits.” 20 C.F.R. § 404.1523. Further,
if the Commissioner does find a combination of impairments, the
combined impact of the impairments, including those that are not
severe (as defined by the regulations), will be considered in
the determination process. 20 C.F.R. § 416.945(a)(2). In steps
one through four of the sequential five-step framework, the
claimant bears the “general burden of proving . . . disability.”
Burgess, 537 F.3d at 128. At step five, the burden shifts from
the claimant to the Commissioner, requiring that the
Commissioner show that, in light of the claimant’s RFC, age,
education, and work experience, the claimant is “able to engage
in gainful employment within the national economy.” Sobolewski
v. Apfel, 985 F. Supp. 300, 310 (E.D.N.Y. 1997).
Lastly, federal regulations explicitly authorize a
court, when reviewing decisions of the SSA, to order further
proceedings when appropriate. “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.” 42 U.S.C. § 405(g). Remand is
warranted where “there are gaps in the administrative record or
the ALJ has applied an improper legal standard.” Rosa v.
Callahan, 168 F.3d 72, 82-83 (2d Cir. 1999) (quoting Pratts v.
Chater, 94 F.3d 34, 39 (2d Cir. 1996) (internal quotation marks
omitted). Remand is particularly appropriate where further
findings or explanation will clarify the rationale for the ALJ’s
decision. Pratts, 94 F.3d at 39. If the record before the
court provides “persuasive proof of disability and a remand for
further evidentiary proceedings would serve no purpose,”
however, the court may reverse and remand solely for the
calculation and payment of benefits. See, e.g., Parker v.
Harris, 626 F.2d 225, 235 (2d Cir. 1980); Kane v. Astrue, 942 F.
Supp. 2d 301, 314 (E.D.N.Y. 2013).
DISCUSSION
I. New Regulations Regarding Evaluation of Medical Opinion
Evidence
Previously, the SSA followed the “treating physician
rule,” which required the agency to give controlling weight to a
treating source’s opinion, so long as it was “well-supported by
medically acceptable clinical and laboratory diagnostic
techniques” and not “inconsistent with the other substantial
evidence” in the record. 20 C.F.R. § 416.927(c)(2). The 2017
regulations changed this standard for DIB applications filed “on
or after March 27, 2017.” Id. § 404.927. As Plaintiff filed
the instant application on March 28, 2017, the new regulations
apply to this action. (Tr. at 19, 88.)
Pursuant to the new regulations, the Commissioner will
no longer “defer or give any specific evidentiary weight,
including controlling weight, to any medical opinion(s) or prior
administrative medical finding(s), including those from [a
claimant’s] medical sources.” 20 C.F.R. § 404.1520c(a).
Instead, when evaluating the persuasiveness of medical opinions,
the Commissioner will consider the following five factors: (1)
supportability; (2) consistency; (3) relationship of the source
with the claimant, including length of the treatment
relationship, frequency of examination, purpose of the treatment
relationship, extent of the treatment relationship, and whether
the relationship is an examining relationship; (4) the medical
source’s specialization; and (5) other factors, including but
not limited to “evidence showing a medical source has
familiarity with the other evidence in the claim or an
understanding of [the SSA] disability program's policies and
evidentiary requirements.” Id. § 404.1520c(c)(5).
The most important factors of a medical opinion in
evaluating persuasiveness are supportability and consistency.
Id. § 404.1520c(a). With respect to the supportability factor,
the regulations provide that “[t]he more relevant the objective
medical evidence and supporting explanations presented by a
medical source are to support his or her medical opinion(s) or
prior administrative medical finding(s), the more persuasive the
medical opinions or prior administrative medical finding(s) will
be.” Id. § 404.1520c(c)(1). As to the consistency factor, the
regulations provide that “[t]he more consistent a medical
opinion(s) or prior administrative medical finding(s) is with
the evidence from other medical sources and nonmedical sources
in the claim, the more persuasive the medical opinion(s) or
prior administrative medical finding(s) will be.” Id.
§ 404.1520c(c)(2).
The ALJ must articulate her consideration of the
medical opinion evidence, including how persuasive she finds the
medical opinions in the case record. Id. at § 404.1520c(b).
“Although the new regulations eliminate the perceived hierarchy
of medical sources, deference to specific medical opinions, and
assigning ‘weight’ to a medical opinion, the ALJ must still
articulate how [he or she] considered the medical opinions and
how persuasive [he or she] find[s] all of the medical opinions.”
Andrew G. v. Comm'r of Soc. Sec., No. 19-cv-0942 (ML), 2020 WL
5848776, at *5 (N.D.N.Y. Oct. 1, 2020) (quotations and citation
omitted). Specifically, the ALJ must explain how she considered
the “supportability” and “consistency” factors for a medical
source’s opinion. 20 C.F.R. §§ 404.1520c(b)(2). The ALJ may,
but is not required to, explain how she considered the remaining
factors. Id. When the opinions offered by two or more medical
sources about the same issue are “both equally well-supported
... and consistent with the record ... but are not exactly the
same,” however, the ALJ shall articulate how he considered the
remaining factors in evaluating the opinions. 20 C.F.R.
§ 404.1520c(b)(3).
Even though ALJs are no longer directed to afford
controlling weight to treating source opinions—no matter
how well supported and consistent with the record they
may be—the regulations still recognize the “foundational
nature” of the observations of treating sources, and
“consistency with those observations is a factor in
determining the value of any [treating source's]
opinion.”
Soto v. Comm'r of Soc. Sec., No. 19-cv-4631 (PKC), 2020 WL
5820566 (E.D.N.Y. Sept. 30, 2020) (quoting Shawn H. v. Comm'r of
Soc. Sec., No. 19-cv-113 (JMC), 2020 WL 3969879, at *6 (D. Vt.
July 14, 2020) (quoting Barrett v. Berryhill, 906 F.3d 340, 343
(5th Cir. 2018))).
II. The ALJ’s Disability Determination
Applying the five-step sequential process to determine
whether a claimant is disabled as mandated by Title 20 C.F.R.
Section 416.971, the ALJ determined at step one that plaintiff
did not engage in substantial gainful activity during the period
from his alleged onset date of April 16, 2015, through the date
last insured on December 31, 2015. (Tr. At 19.) At step two,
the ALJ determined that plaintiff suffered from the severe
impairments of major depressive disorder, anxiety disorder, post
cerebrovascular accident with residuals, and a hearing
impairment. (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 Title 20 C.F.R. Part 404, Subpart P, Appendix 1, including
impairments to special senses and speech under Listing 2.00,
vascular insult to the brain under Listing 11.04, depressive,
bipolar, and related disorders under Listing 12.04, and anxiety
and obsessive compulsive disorders under Listing 12.06. (Id.);
20 C.F.R. §§ 404.1520(d), 404.1525, and 404.1526.
At step four, the ALJ determined that Plaintiff had
the RFC to perform sedentary work as defined in Title 20 C.F.R.
Section 404.1567(a). (Tr. at 21.) The ALJ found Plaintiff
could climb ramps and stairs occasionally; could never climb
ladders, ropes, or scaffolds; used a cane for ambulation; could
stoop, crouch, and crawl occasionally; could hear and understand
simple oral instructions; could perform simple, routine tasks;
and could make simple work-related decisions. (Id.)
In making her RFC determination, the ALJ found the
opinion of Dr. Shtock “persuasive.” (Id. at 30.) The ALJ
reasoned that Dr. Shtock “is a medical doctor and examining
source with an appropriate area of expertise.” (Id.)
Additionally, the ALJ found Dr. Shtock’s opinions “largely
consistent with his own clinical findings and with the medical
evidence of record for the period at issue.” (Id.) The ALJ
also found, however, that Dr. Shtock’s examination was performed
prior to the disability period and that other relevant medical
evidence “does not support a limitation of sitting for only 4
hours total in an 8-hour workday.” (Id.) Dr. Shtock’s opinion
as to this final limitation was, therefore, “not found to be
persuasive.” (Id.)
The ALJ incorrectly determined that the opinion of Dr.
Ong was that Plaintiff was able to perform a job in a seated
position for only one hour in an eight-hour workday and in a
standing/walking position for three hours in an eight-hour
workday. The ALJ’s incorrect reading is of a disability
impairment questionnaire Dr. Ong completed on May 8, 2015. (Tr.
at 277-281.) Dr. Ong wrote that he does not perform functional
evaluations and “slashed through” the questionnaire. (Id. at
279.) The ALJ incorrectly understood these markings to indicate
Dr. Ong’s opinion of Plaintiff’s seated, standing, and walking
limitations. Dr. Ong left the remainder of the questionnaire
related to functional evaluations blank and reaffirmed in an
electronic message on September 6, 2017, that he does not
perform functional evaluations. (Id. at 279-281, 414.) In her
incorrect interpretation of Dr. Ong’s disability impairment
questionnaire, the ALJ found the opinion of Dr. Ong that
Plaintiff was able to perform a job in a seated position for
only one hour in an eight hour workday “not persuasive, as
although he is a medical doctor a treating source, this opinion
of such extreme limitations in sitting to perform a job function
is wholly unsupported by any medical evidence of record,
including Dr. Ong’s own notation that claimant’s main symptom
was mild right-sided weakness and numbness.” (Id. at 30.)
Elsewhere, the ALJ also noted Dr. Ong’s conclusion was “not
supported by [Dr. Ong’s] mild findings.” (Id. at 23.) As to
Dr. Ong’s conclusion that Plaintiff was able to perform a job in
a standing/walking position for three hours in an eight-hour
workday, the ALJ found his opinion “somewhat persuasive.” (Id.
at 30.) In explanation, the ALJ offered that “the evidence of
record better supports limitation to 2 hours in an 8-hour
workday” with no further elaboration. (Id.)
The ALJ found the opinions of Dr. Thakore that (1)
Plaintiff had significant and persistent disorganization of
motor function in two extremities resulting in sustained
disturbance of gross and dexterous movement or gait and station;
and (2) Plaintiff was never able to lift or carry up to 5
pounds, “only somewhat persuasive, as the medical evidence of
record does not sufficiently support a finding that the
claimant’s documented stroke residuals caused such extreme
limitations.” (Id.) Further, the ALJ found that Dr. Thakore’s
numerous conclusions2 that Plaintiff was disabled to work were
“not persuasive.” (Id.) In finding these conclusions not
persuasive, the ALJ reasoned that “the determination of
disability is reserved to the Commissioner” and elsewhere opined
that Dr. Thakore “did not provide any specific opinions
2 Dr. Thakore concluded Plaintiff was disabled to work in examination reports
in May, July, and December of 2015; examination reports in March and July of
2016; and quarterly treatment records through the year 2017.
regarding the claimant’s functional abilities or limitations.”
(Id. at 24-25, 30.) Finally, the ALJ found Dr. Thakore’s
opinion that Plaintiff “does not have emotional factors
contributing to his symptoms as functional limitations” only
“somewhat persuasive.” (Id. at 30.) The ALJ stated that Dr.
Thakore’s “indications that the claimant’s symptoms were
constantly severe enough to interfere with attention and
concentration, or that he was incapable of even low stress
work,” were “not persuasive.” (Id. at 30-31.) The ALJ stated
that the limitations which Dr. Thakore indicated rendered
Plaintiff unable to perform low stress work during the period of
disability were also present during periods Plaintiff
successfully worked following his stroke in 2011.3 (Id. at 24.)
The ALJ further explained that “Dr. Thakore does not have an
appropriate area of expertise in mental health to provide such
opinions.” (Id. at 31.)
The ALJ found the opinion of Dr. Greco stating that
Plaintiff did not meet Listing 11.04(B) “somewhat persuasive.”
(Id.) The ALJ reasoned that Dr. Greco is “a medical doctor with
an appropriate area of expertise who reviewed all of the
evidence of record available at the time that he completed his
3 As will be explained infra, the ALJ erred in reaching this conclusion, as
Plaintiff has not worked since his stroke in 2011. (Tr. at 50, 190, 192,
197, 199, 204, 206, 211, and 240.) The Commissioner’s lawyers argue in
briefing, to no avail, that this is harmless error.
assessment” and that his “opinion is consistent with the medical
evidence as a whole.” (Id.) Dr. Greco’s opinion was only
somewhat persuasive, however, because he “did not have the
opportunity to examine the claimant.” (Id.)
The ALJ found the opinion of Dr. Joyce Graber, M.D.
who performed a consultative internal medicine examination on
April 2, 2012, “not persuasive.” (Id. at 22, 31.) Despite her
appropriate qualifications, Dr. Graber’s examination took place
prior to the alleged onset date and, therefore, reviewed only
for the purposes of developing a longitudinal history. (Id. at
22, 31.) Additionally, Dr. Graber determined Plaintiff had only
“mild limitations in bending, squatting, and other activities,”
but this was “not sufficiently consistent with the medical
evidence for the period at issue, which supports more
significant limitations during the relevant period.” (Id. at
31.)
The ALJ found that the opinions of Dr. Thakore and Dr.
Jonathan Guterman, M.D., a vascular neurologist also at TJH
Medical Services, that Plaintiff was disabled were “not
persuasive.” (Id.) The ALJ reasoned that “the issue of
disability is reserved to the Commissioner.” (Id.) The ALJ
additionally noted that several of Dr. Thakore and Dr.
Guterman’s medical opinions were provided after the date last
insured and were, for that reason, also “not persuasive.” (Id.
at 26.)
The ALJ found the opinion of Dr. Toula Georgiou,
Psy.D. that Plaintiff would have difficulties performing complex
tasks “persuasive.” (Id.) The ALJ reasoned that Dr. Georgiou
“is an examining source with an appropriate area of expertise”
and that “this portion of her opinion is consistent with her own
clinical findings and with the medical evidence as a whole.”
(Id.) As to Dr. Georgiou’s opinion that Plaintiff would have
other difficulties related to dealing with stress or that
psychiatric issues would interfere with daily functioning, the
ALJ found Dr. Georgiou’s opinion “not as persuasive.” (Id.)
The ALJ reasoned that this determination was “not sufficiently
supported by either [Dr. Georgiou’s] own clinical findings or by
the medical evidence as a whole, which support no more than mild
limitations in these areas.” (Id.)
The ALJ found the opinion of Nurse Practitioner Wendy
McIntosh, PMHNP “somewhat persuasive, as she is a treating
source” and her opinions were “consistent with the medical
evidence as a whole for the period at issue.” (Id.) The ALJ
reasoned Ms. McIntosh’s opinion was, nevertheless, only somewhat
persuasive because much of her questionnaire was marked
“unknown” and the limitations described only applied after the
date last insured. (Id.)
The ALJ found the opinion of DDS medical consultant
Dr. C. Anderson that Plaintiff’s mental impairment relating to
depressive, bipolar, and related disorders was non-severe
“unsupported” and otherwise “not persuasive.” (Id. at 28, 31.)
The ALJ reasoned that Dr. Anderson was not an examining source
and that evidence presented at the hearing supported a finding
of moderate “limitations in understanding, remembering, and
applying information,” which, taken together, more appropriately
result in a severe rating. (Id.) The ALJ also found Dr.
Anderson’s opinion that Plaintiff’s impairments did not
precisely satisfy Listing 12.04 consistent with the medical
evidence. (Id.) The ALJ concluded that, through the date last
insured, Plaintiff was “unable to perform [Plaintiff’s] past
relevant work” as a security guard. (Id. at 32.)
Lastly, at step five, the ALJ determined that
Plaintiff was capable of making a successful adjustment to other
work that exists in significant numbers in the national economy,
including as a final assembler, an assembler, and a bench hand.
(Id. at 33.) Thus, the ALJ concluded that per 20 C.F.R. §
404.1520(g) Plaintiff had not been under a disability as defined
in the Social Security Act from the alleged onset date of April
16, 2015, through the date last insured of December 31, 2015.
(Id.)
III. Analysis
On appeal, Plaintiff asserts that the ALJ: (1)
improperly evaluated medical opinion evidence, resulting in an
improper determination of Plaintiff’s RFC, and (2) improperly
evaluated Plaintiff’s subjective statements. (ECF No. 18, “Pl.
Memo.” at 2, 9.) For the reasons discussed below, the court
finds the ALJ erred by: (1) making an RFC finding in the absence
of supporting substantial evidence, and (2) failing to properly
evaluate Plaintiff’s subjective statements. Accordingly, the
court remands the case for further administrative proceedings
consistent with this Memorandum and Order.
A. The ALJ Improperly Made an RFC Finding in the Absence of
Supporting Substantial Evidence
Plaintiff contends that the ALJ improperly determined
he could perform sedentary work, substituting “[the ALJ’s] lay
interpretation of the clinical and objective testing for the
opinions from the treating and examining specialists.” (Pl.
Memo. at 7.) The court cannot determine whether the ALJ’s
conclusory statement that Plaintiff was able to carry out
sedentary work is supported by substantial evidence.
Critical to Plaintiff’s capacity to perform sedentary
work is an analysis of his ability to sit for prolonged periods
of time. “By its very nature ‘sedentary’ work requires a person
to sit for long periods of time even though standing and walking
are occasionally required.” Carroll v. Sec'y of Health & Hum.
Servs., 705 F.2d 638, 643 (2d Cir. 1983) (citing 20 C.F.R. §
404.1567(a)). More specifically, Social Security Ruling (“SSR”)
83-10 provides: “sitting should generally total approximately 6
hours of an 8-hour workday” for sedentary work. See SSR 83-10,
1983 WL 31251, at *5 (1983); see also Troupe v. Heckler, 618 F.
Supp. 248, 254 (S.D.N.Y. 1985) (Remanding where the claimant was
determined unable to perform sedentary work because he could
rarely, if ever, sit for the six or more hours required for
sedentary work); Halloran v. Barnhart, 362 F.3d 28, 31 (2d Cir.
2004) (Noting a required capacity to sit for six hours in an
eight-hour workday to qualify for sedentary work).
Despite the ALJ’s conclusion that Plaintiff could
perform sedentary work, there is no medical opinion in the
record indicating Plaintiff was able to sit for the required six
hours in an eight-hour workday. To the contrary, both the
consultative examiner opinion of Dr. Shtock as well as the
opinion of Plaintiff’s longtime treating physician, Dr. Thakore,
indicate that Plaintiff would be unable to sit for at least six
hours in an eight-hour workday. Dr. Shtock determined that
Plaintiff could sit for a maximum of only four hours total in an
eight-hour workday. (Tr. at 271; Joint Stip. at 10.) Dr.
Thakore, when asked specifically in a stroke impairment
questionnaire to estimate Plaintiff’s ability to sit in an
eight-hour day if placed in a competitive five day a week work
environment on a sustained basis, wrote that Plaintiff was
disabled to work. (Tr. at 286.) The ALJ identified no other
medical source in the record expressing an opinion on
Plaintiff’s functional limitations regarding sitting for
sustained periods, let alone sitting for sustained periods in
the context of a competitive five day a week work environment.
Nevertheless, the ALJ rejected the opinions of both
Dr. Shtock4 and Dr. Thakore and determined that Plaintiff could
perform sedentary work. (Tr. at 21, 30.) Plaintiff argues the
ALJ made this determination without citing “to any specific
medical facts nor even persuasive non-medical evidence that
supports the sedentary RFC found for Mr. Figueroa.” (Pl. Memo.
at 8.) For the reasons described above, and because the ALJ
never elaborated beyond concluding Plaintiff could perform
sedentary work, the court finds that the record supports
Plaintiff’s position. The Commissioner’s lawyers attempt to
defend the ALJ’s insufficient reasoning:
The ALJ may “‘choose between properly
submitted medical opinions,’ Balsamo v.
4 Notably, the ALJ determined that Dr. Shtock’s opinion was “persuasive” as to
all findings except for his determination that Plaintiff was capable of only
sitting for four hours in an eight-hour workday, which was “not found to be
persuasive.” (Tr. at 30.) As an explanation for this divergence, the ALJ
reasoned that Dr. Shtock’s examination “was performed prior to the period at
issue.” (Id.) It is unclear to this court why the ALJ’s reasoning would
render Dr. Shtock’s opinion unpersuasive as to Plaintiff’s sedentary
limitations while the ALJ simultaneously found the remainder of Dr. Shtock’s
opinion “persuasive.” (Id.)
Chater, 142 F.3d 75, 81 (2d Cir. 1998),
including the report of a consultative
physician, see Mongeur v. Heckler, 722 F.2d
1033, 1039 (2d Cir. 1983).” Heaman v.
Berryhill, 765 F. App'x 498, 500 (2d Cir.
2019).
(Def. Memo. at 6.) Defendant’s own response is inconsistent
with the ALJ’s decision. The ALJ did not choose a submitted
medical opinion in the record that disagreed with Dr. Shtock and
Dr. Thakore, and there is no alternative medical opinion in the
record opining on Plaintiff’s capacity to sit for sustained
periods for the ALJ to choose from. Defendant’s cite to
Balsamo, omits the remainder of the relevant quotation: “[W]hile
an [ALJ] is free to . . . choose between properly submitted
medical opinions, he is not free to set his own expertise
against that of a physician who [submitted an opinion to or]
testified before him.” Balsamo v. Chater, 142 F.3d 75, 81 (2d
Cir. 1998) (quoting McBrayer v. Sec'y of Health & Hum. Servs.,
712 F.2d 795, 799 (2d Cir. 1983) (internal quotation marks and
citations omitted). Where, as here, the ALJ did not choose
between medical opinions in the record and did not otherwise
provide a sufficient explanation for her decision, it appears
the ALJ may have set her own expertise against that of the
reviewing physicians. Finally, despite Defendant’s citation of
Mongeur, the only report of a consultative physician relevant to
Plaintiff’s sedentary capacity is Dr. Shtock’s, which the ALJ
not only did not rely upon, but also explicitly discounted.
(Tr. at 30.)
Consistent with the above, remand is appropriate.
“Because an RFC determination is a medical determination, an ALJ
who makes an RFC determination in the absence of supporting
expert medical opinion has improperly substituted his own
opinion for that of a physician, and has committed legal error.”
Hilsdorf v. Comm'r of Soc. Sec., 724 F. Supp. 2d 330, 347
(E.D.N.Y. 2010). See Woodford v. Apfel, 93 F. Supp. 2d 521, 529
(S.D.N.Y. 2000) (finding that “an ALJ commits legal error when
he makes a residual functional capacity determination based on
medical reports that do not specifically explain the scope of
claimant’s work-related capabilities”); Zorilla v. Chater, 915
F. Supp. 662, 666–67 (S.D.N.Y. 1996) (finding that “the lay
evaluation of an ALJ is not sufficient evidence of the
claimant’s work capacity; an explanation of the claimant’s
functional capacity from a doctor is required”); Legall v.
Colvin, No. 13-cv-1426 (VB), 2014 WL 4494753, at *4 (S.D.N.Y.
Sept. 10, 2014) (remanding where the ALJ “committed legal error
in arriving at his RFC determination without citation to any
expert medical opinion in support thereof”); Josephs v. Comm'r
of Soc. Sec., No. 18-cv-838 (AMD), 2019 WL 1993992, at *2
(E.D.N.Y. May 6, 2019) (remanding where “the ALJ disregarded the
only expert medical opinion about the plaintiff’s condition and
substituted her own,” determining plaintiff could perform
sedentary work where “no physician gave an opinion with these
limitations”).
The Commissioner’s attorneys offer new explanations
for the ALJ’s determination that Plaintiff could sit for at
least the required six hours. (Def. Memo. at 7-9.) These new
explanations to this court include analyses of opinions from Dr.
Shtock, Dr. Ong, Dr. Schiesel, and Dr. Greco. (Id.)
Defendant’s arguments cannot remedy the ALJ’s initial,
inadequate decision because they are plainly not the bases upon
which the ALJ denied Plaintiff’s claim, or they are otherwise
inconsistent with the record. “The courts are not permitted to
‘affirm an administrative action on grounds different from those
considered by the agency.’” Burgess v. Astrue, 537 F.3d 117,
131 (2d Cir. 2008) (quoting Melville v. Apfel, 198 F.3d 45, 52
(2d Cir. 1999)). Additionally, “a reviewing court ‘may not
accept appellate counsel’s post hoc rationalizations for agency
action.’” Snell v. Apfel, 177 F.3d 128, 134 (2d Cir. 1999)
(quoting Burlington Truck Lines, Inc. v. United States, 371 U.S.
156, 168 (1962)).
For example, Defendants argue that Dr. Shtock offered
a narrative opinion that Plaintiff has “no limitation with
sitting long periods,” but this was never mentioned by the ALJ,
and Defendants also later jointly stipulated to Dr. Shtock’s
more specific findings that Plaintiff could only sit for four
hours in an eight-hour workday. (Def. Memo. at 8; Joint Stip.
at 10.) Defendants also argue that Dr. Ong marked on a
disability impairment questionnaire that it was not medically
necessary for Plaintiff to avoid continuous sitting. (Def.
Memo. at 7.) This explanation is in direct conflict with the
ALJ’s opinion, which determined Dr. Ong’s stray marks indicated
Plaintiff’s inability to sit for one hour continuously. (Tr. at
30.) Additionally, though the ALJ found Dr. Ong’s finding as to
Plaintiff’s ability to sit continuously “not persuasive,”
Defendant now argues that Dr. Ong’s finding on the matter was
persuasive. Notwithstanding these contradictions, Dr. Ong also
wrote on the questionnaire at issue that he did not perform
functional evaluations and later reaffirmed this by electronic
message. (Id. at 279, 414.) Lastly, Defendants argue that
support for the ALJ’s findings was provided by both Dr. Schiesel
and Dr. Greco. (Def. Memo. at 8.) Dr. Schiesel, however, is
not mentioned in the ALJ’s RFC determination, nor by name in the
ALJ’s decision as a whole. (Id. at 13-33.) While Dr. Greco is
mentioned, the ALJ only ever considered his opinion as to
Listing 11.04(B), and Dr. Greco never made any findings as to
Plaintiff’s functional limitations related to sitting. (Tr. at
30.)
Though the ALJ’s inadequately supported RFC finding
is a sufficient basis for remand for further proceedings, this
court also directs the ALJ to appropriately evaluate medical
opinion evidence. For example, in addition to the ALJ
incorrectly interpreting Dr. Ong’s disability impairment
questionnaire, the ALJ also discounted Dr. Thakore’s medical
opinion in part based on an inaccurate belief that Plaintiff
successfully worked following his stroke in 2011. (Tr. at 24.)
The ALJ further discounted Dr. Thakore’s opinion when she
determined: (1) that reporting emotional factors did not
contribute to Plaintiff’s symptoms was incongruous with also
reporting issues with attention and concentration following a
CVA; and (2) that Dr. Thakore, a board-certified neurologist,
did not have appropriate expertise in “mental health” to provide
opinions on issues with attention and concentration following a
CVA. (Tr. at 24, 31.) The court finds that the ALJ discounted
Dr. Thakore’s opinions related to these two determinations
without substantial evidence that “a reasonable mind might
accept as adequate to support a conclusion.” Halloran v.
Barnhart, 362 F.3d 28, 31 (2d Cir. 2004) (citing Richardson v.
Perales, 420 U.S. 389, 401 (1971)) (internal quotation marks
omitted). On remand, the ALJ should appropriately evaluate
medical opinion evidence to make specific findings as to
Plaintiff’s ability to perform sedentary work, especially with
reference to Plaintiff’s ability to sit continuously and for how
long. The ALJ should then determine, in sufficient detail and
based on those specific findings, whether Plaintiff has the RFC
to perform sedentary work.
B. The ALJ Improperly Evaluated Plaintiff’s Subjective
Statements
The ALJ found in a conclusory statement that
Plaintiff’s:
medically determinable impairments could
reasonably be expected to cause the alleged
symptoms; however, the claimant’s statements
concerning the intensity, persistence and
limiting effects of these symptoms are not
entirely consistent with the medical
evidence and other evidence in the record.
(Tr. at 29.) Because the ALJ failed to adequately assess the
credibility of Plaintiff’s statements, remand is required.
The ALJ properly identified the required two-step
process for evaluating Plaintiff’s subjective statements, first
determining whether there is an underlying medically
determinable physical or mental impairment “that could
reasonably be expected to produce the claimant’s pain or other
symptoms,” and second, once such an impairment has been shown,
“evaluat[ing] the intensity, persistence, and limiting effects
of the claimant’s symptoms to determine the extent to which they
limit the claimant’s functional limitations.” (Tr. at 12.); see
also 20 C.F.R. § 404.1529(a)-(b). Social Security Ruling
(“SSR”) 16-3p establishes that the ALJ must evaluate at step two
using “the [seven] factors set forth in 20 CFR 404.1529(c)(3)
and 416.929(c)(3).” SSR 16-3p, 2017 WL 5180304, at *7 (October
25, 2017). These include:
(1) Daily activities; (2) The location,
duration, frequency, and intensity of pain or
other symptoms; (3) Factors that precipitate
and aggravate the symptoms; (4) The type,
dosage, effectiveness, and side effects of any
medication an individual takes or has taken to
alleviate pain or other symptoms; (5)
Treatment, other than medication, an
individual receives or has received for relief
of pain or other symptoms; (6) Any measures
other than treatment an individual uses or has
used to relieve pain or other symptoms (e.g.,
lying flat on his or her back, standing for 15
to 20 minutes every hour, or sleeping on a
board); and (7) Any other factors concerning
an individual's functional limitations and
restrictions due to pain or other symptoms.
Id. at *7-8; see also 20 C.F.R. § 404.1529(c). Further, “the ALJ
must consider all of the evidence in the record and give specific
reasons for the weight accorded to the claimant’s testimony.”
Alcantara, 667 F.Supp.2d at 277–78 (citing Lugo v. Apfel, 20
F.Supp.2d 662, 663 (S.D.N.Y. Sept. 28, 1998)). “A finding that
the witness is not credible must . . . be set forth with sufficient
specificity to permit intelligible plenary review of the record.”
Williams ex rel. Williams v. Bowen, 859 F.2d 255, 260-61 (2d Cir.
1988) (citing Carroll v. Sec’y of Health & Human Servs., 705 F.2d
638, 643 (2d Cir. 1983)). “Where the ALJ fails sufficiently to
explain a finding that the claimant’s testimony was not entirely
credible, remand is appropriate.” Valet v. Astrue, No. 10-cv-3282
(KAM), 2012 WL 194970, at *22 (E.D.N.Y. Jan. 23, 2012) (citing
Tornatore v. Barnhart, No. 05-cv-6858 (GEL), 2006 WL 3714649, at
*6 (S.D.N.Y. Dec. 12, 2006)).
The ALJ’s finding that Plaintiff’s allegations were
not credible was based on several observations: the ALJ noted
Plaintiff’s medical treatment had been conservative, he had been
hospitalized only on rare occasion, his medications were not
unusual for either type or dosage and did not appear to have
adverse side effects, and that he was engaged in activities such
as performing personal care, light cooking, cleaning, shopping,
and traveling independently by public transportation. (Tr. at
30.) The ALJ’s abbreviated analysis did not clearly evaluate
the plaintiff’s credibility according to the seven factors above
as required by the regulations and SSR 16-3p cited supra. For
example, the ALJ neglected to consider the location, duration,
frequency, and intensity of Plaintiff’s pain, as well as the
factors that precipitate and aggravate Plaintiff’s symptoms
(such as sitting for prolonged periods of time). The ALJ also
failed to consider measures other than treatment Plaintiff uses
to relieve pain (such as lying flat on his back). Accordingly,
the ALJ’s incomplete analysis warrants remand. See, e.g.,
Wright v. Astrue, No. 06-cv-6014 (FB), 2008 WL 620733, at *3
(E.D.N.Y. Mar. 5, 2008); Tornatore, 2006 WL 3714649, at *6;
Valet, 2012 WL 194970, at *22 (remanding where the ALJ did not
consider all seven of the factors required.) On remand, the ALJ
must thoroughly evaluate plaintiff’s credibility with sufficient
specificity, and specifically apply the seven factors.
CONCLUSION
For all the foregoing reasons, Plaintiff’s motion for
judgment on the pleadings is GRANTED, Defendant’s cross-motion
for judgment on the pleadings is DENIED, and the case is
REMANDED for further proceedings consistent with this Memorandum
and Order. The Clerk of Court is respectfully directed to enter
judgment in favor of Plaintiff and close the case.
SO ORDERED.
/s/ Kiyo A. Matsumoto
Hon. Kiyo A. Matsumoto
United States District Judge
Eastern District of New York
Dated: September 21, 2021
Brooklyn, New York