“[T]hat appellant receives conservative treatment, waters his landlady’s garden, occasionally visits friends and is able to get on and off an examination table can scarcely be said to controvert the medical evidence.”
How later courts described this case
- “[T]hat appellant receives conservative treatment, waters his landlady’s garden, occasionally visits friends and is able to get on and off an examination table can scarcely be said to controvert the medical evidence.”
- explaining that “cherry-picked treatment notes do not provide ‘good reasons’ for minimizing [a treating physician’s] opinion”
- explaining that remand is warranted where “inadequacies in the ALJ’s analysis frustrate meaningful review”
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF NEW YORK
--------------------------------------X
FATIMA CORPORAN BETANCES,
Plaintiff,
MEMORANDUM AND ORDER
-against-
20-CV-2281(KAM)
KILOLO KIJAKAZI1, ACTING COMMISSIONER
OF SOCIAL SECURITY,
Defendant.
--------------------------------------X
KIYO A. MATSUMOTO, United States District Judge:
Plaintiff Fatima Corporan Betances appeals the final
decision of the Commissioner of Social Security (the
“Commissioner”), which found Plaintiff is not disabled and thus
not entitled to disability insurance benefits under Title II of
the Social Security Act (the “Act”). Plaintiff and the
Commissioner have cross moved for judgment on the pleadings. For
the reasons set forth below, Plaintiff’s motion is GRANTED, the
Commissioner’s motion is DENIED, and the case is REMANDED for
further proceedings consistent with this Memorandum and Order.
1 Pursuant to Federal Rule of Civil Procedure 25(d), Acting Commissioner Kilolo
Kijakazi is automatically substituted for Andrew Saul as the Defendant in this
action.
Background
The parties have filed a joint stipulation of relevant
facts, which the court has reviewed and incorporates by reference.
(See generally ECF No. 18-1, Joint Stipulation of Facts (“Stip.”).)
The court briefly recounts the facts and procedural history
relevant to the instant motions.
Plaintiff worked as a childcare worker between 1998 and
2008 and worked as a jewelry inspector between 1995 and 1998.
(Stip. at 1.) Plaintiff filed an application for disability
insurance benefits on December 4, 2013. (Id.) Plaintiff alleged
disability beginning on June 30, 2008, due to a herniated disc in
her back, anxiety, panic attacks, high blood pressure, pre-
diabetes, gastritis, hernia, and carpal tunnel syndrome. (Id.;
ECF Nos. 19 to 19-4 (together, the “Administrative Record”) at
405.) The agency denied her application for benefits, and an
administrative law judge agreed that Plaintiff was not disabled
under the Act in a decision dated September 29, 2016. (Id. at 42-
55.)
After the Appeals Council denied review (id. at 1-4),
Plaintiff filed suit in this court challenging the Commissioner’s
final decision denying her benefits. On December 12, 2018, Judge
Chen approved the parties’ stipulation and order remanding
Plaintiff’s case for the ALJ to take further action to complete
the administrative record, hold a new hearing, and issue a new
decision. Stipulation and Order, Corporan Betances v. Berryhill,
No. 18-cv-1527 (E.D.N.Y. Dec. 12, 2018). On January 16, 2019, the
Appeals Council instructed the ALJ to: (1) consider the opinion of
Plaintiff’s treating psychiatrist, Dr. Lober Cervantes; (2) give
further consideration to Plaintiff’s maximum residual functional
capacity (“RFC”); and (3) obtain supplemental evidence from a
vocational expert, if appropriate, regarding Plaintiff’s ability
to perform other jobs in the national economy. (Administrative
Record at 1234.)
Following a new hearing, the ALJ again denied
Plaintiff’s application for benefits in a decision dated February
4, 2020. (Id. at 1075-88.) Thereafter, Plaintiff again filed
suit in this court challenging the Commissioner’s final decision.
(ECF No. 1 (“Compl.”).) The parties’ cross-motions for judgment
on the pleadings are fully briefed and ripe for decision. (ECF
No. 17-1 (“Pl.’s Mem.”); ECF No. 17-2 (“Def.’s Mem.”); ECF No. 17-
3 (“Pl.’s Reply”).)
Standard of Review
A claimant must be “disabled” within the meaning of the
Act to receive benefits. See 42 U.S.C. §§ 423(a), (d). A claimant
qualifies as disabled 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.” Id. §
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 regulations promulgated by the Commissioner set
forth a five-step sequential evaluation process for determining
whether a claimant meets the Act’s definition of disabled. See 20
C.F.R. § 404.1520. The Commissioner’s 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 v. Astrue, 537 F.3d 117, 120 (2d Cir. 2008) (quoting Green-
Younger v. Barnhart, 335 F.3d 99, 106 (2d Cir. 2003)); accord 20
C.F.R. § 404.1520(a)(4). During this five-step process, the
Commissioner must consider whether “the combined effect of all of
[a claimant’s] impairments,” including those that are not severe,
would be of sufficient severity to establish eligibility for Social
Security benefits. 20 C.F.R. § 404.1523(c).
“The claimant has the general burden of proving . . .
his or her case at steps one through four of the sequential five-
step framework established in the SSA regulations.” Burgess, 537
F.3d at 128 (internal quotation marks and citations omitted).
“However, because a hearing on disability benefits is a
nonadversarial proceeding, the ALJ generally has an affirmative
obligation to develop the administrative record.” Id. (internal
quotation marks, alteration, and citations omitted). “The burden
falls upon the Commissioner at the fifth step of the disability
evaluation process to prove that the claimant, if unable to perform
[her] past relevant work [and considering his residual functional
capacity, age, education, and work experience], is able to engage
in gainful employment within the national economy.” Sobolewski v.
Apfel, 985 F. Supp. 300, 310 (E.D.N.Y. 1997).
“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)) (alterations in original).
Unsuccessful claimants for disability benefits may bring
an action in federal court seeking judicial review of the
Commissioner’s denial of their benefits. 42 U.S.C. §§ 405(g),
1383(c)(3). 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). Rather, “[a] district court may set aside the
Commissioner’s determination that a claimant is not disabled only
if the factual findings are not supported by substantial evidence
or if the decision is based on legal error.” Burgess, 537 F.3d at
127 (internal quotation marks omitted) (quoting Shaw, 221 F.3d at
131). “The substantial evidence standard means once an ALJ finds
facts, [the court] can reject those facts ‘only if a reasonable
factfinder would have to conclude otherwise.’” Brault v. Soc.
Sec. Admin., Comm’r, 683 F.3d 443, 448 (2d Cir. 2012) (citations
omitted).
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) (second alteration in original) (internal
quotation marks omitted) (quoting Cruz v. Sullivan, 912 F.2d 8, 11
(2d Cir. 1990)).
Discussion
I. The ALJ’s Decision
The ALJ analyzed Plaintiff’s application using the five-
step sequential evaluation process, as mandated by the Act’s
implementing regulations. At step one, the ALJ found that
Plaintiff had not engaged in substantial gainful activity between
June 30, 2008, the alleged onset date, and December 31, 2013, the
date last insured. (Administrative Record at 1078.) At step two,
the ALJ determined that Plaintiff had the following severe
impairments: vertigo, diverticulitis, bile gastris, hernia,
headaches, left heel spur, herniated disc, lumbar spinal
impingement, arthritis in the knees, generalized anxiety disorder,
and panic disorder. (Id. at 1078.) As relevant here, the ALJ
also concluded that Plaintiff did not have a severe impairment
attributable to colon cancer or fibromyalgia because she was
diagnosed with those conditions after December 31, 2013, the date
last insured. (Id. at 1079.)
At step three, the ALJ determined that Plaintiff’s
impairments, considered singly or in combination, did not meet or
medically equal the severity of the listed impairments in Part
404, Subpart P, Appendix 1 (20 C.F.R. §§ 404.1520(d), 404.1525,
and 404.1526). (Administrative Record at 1080-82.) Specifically,
the ALJ found that: (1) Plaintiff’s musculoskeletal impairments
did not meet the listings in section 1.00; (2) Plaintiff’s
digestive system impairments did not meet the listing in section
5.06; (3) Plaintiff’s headaches did not meet the listings in
section 11.00; (4) Plaintiff’s vertigo did not meet the listing in
section 2.07; and (5) Plaintiff’s mental impairments did not meet
the listing in section 12.06. (Id.)
At step four, the ALJ concluded that plaintiff was unable
to perform any of her past relevant work. (Id. at 1087.) The ALJ
determined that Plaintiff had the residual functional capacity to
perform light work,2 except that Plaintiff could: climb ramps and
stairs frequently; climb ladders, ropes, or scaffolds
occasionally; stoop, kneel, crouch, and crawl occasionally; work
with moving mechanical parts occasionally; and work in an
environment with less than moderate noise. (Id. at 1082.) The
ALJ also noted that Plaintiff could understand simple
instructions; perform simple, routine tasks; frequently interact
with supervisors, coworkers, and the public; and tolerate
occasional changes in a routine work setting. (Id.)
At step five, the ALJ concluded that there were jobs
that existed in significant numbers in the national economy that
Plaintiff could perform despite her restrictions. (Id. at 1087.)
A vocational expert testified at the December 2, 2019 hearing
before the ALJ that Plaintiff could perform the requirements of
2 Light work “involves lifting no more than 20 pounds at a time with frequent
lifting or carrying of objects weighing up to 10 pounds. Even though the weight
lifted may be very little, a job is in this category when it requires a good
deal of walking or standing, or when it involves sitting most of the time with
some pushing and pulling of arm or leg controls. To be considered capable of
performing a full or wide range of light work, you must have the ability to do
substantially all of these activities. If someone can do light work, we
determine that he or she can also do sedentary work, unless there are additional
limiting factors such as loss of fine dexterity or inability to sit for long
periods of time.” 20 C.F.R. § 404.1567(b).
representative occupations such as garment sorter, bagger, and
drying room attendant. (Id. at 1088.) Accordingly, the ALJ found
that plaintiff was not “disabled” and not entitled to disability
benefits under the Act. (Id.)
I. The ALJ Failed To Provide Good Reasons for Disregarding the
Opinions of Plaintiff’s Treating Physicians
Under the “treating physician rule,”3 the medical opinion
of a treating source as to the nature and severity of a claimant’s
impairments is entitled to “controlling weight,” where the opinion
is “well-supported by medically acceptable clinical and laboratory
diagnostic techniques and is not inconsistent with the other
substantial evidence in [the] case record.” Cichocki v. Astrue,
534 F. App’x 71, 74 (2d Cir. 2013) (internal quotation marks
omitted) (quoting 20 C.F.R. § 404.1527(c)(2)).
“An ALJ who refuses to accord controlling weight to the
medical opinion of a treating physician must consider various
factors to determine how much weight to give to the opinion,
including: (i) the frequency of examination and the length, nature
and extent of the treatment relationship; (ii) the evidence in
support of the treating physician’s opinion; (iii) the consistency
of the opinion with the record as a whole; (iv) whether the opinion
3 In 2017, new regulations were issued that changed the standard for evaluating
medical opinion evidence for claims filed on or after March 27, 2017. See 20
C.F.R. § 404.1520c. However, because Plaintiff filed her claim on December 4,
2013 (Stip. at 1), the previous regulations, including the treating physician
rule, still apply. See Conetta v. Berryhill, 365 F. Supp. 3d 383, 395 n.5
(S.D.N.Y. 2019).
is from a specialist; and (v) other factors brought to the Social
Security Administration’s attention that tend to support or
contradict the opinion.” Id. (internal quotation marks omitted)
(quoting Halloran, 362 F.3d at 32). “The ALJ must then
‘comprehensively set forth [her] reasons for the weight assigned
to a treating physician’s opinion.’” Id. (quoting Burgess, 537
F.3d at 129). An ALJ’s “[f]ailure to provide . . . ‘good reasons'
for not crediting the opinion of a claimant's treating physician
is a ground for remand.” Burgess, 537 F.3d at 129–130 (quoting
Snell, 177 F.3d at 133–34).
Dr. Cervantes. Dr. Lober Cervantes, a psychiatrist,
began treating Plaintiff on January 18, 2013 and diagnosed her
with generalized anxiety disorder. (Stip. at 5.) In an April 8,
2014 medical opinion, Dr. Cervantes stated that Plaintiff could
not engage in any gainful occupation due to the severity of her
mental illnesses, including: her impaired short-term memory; her
inability to concentrate, follow through on instructions, or
maintain attendance at work; and her inability to function in a
work setting with pressure or stress. (Id. at 13; see
Administrative Record at 479-85.) The ALJ accorded Dr. Cervantes’s
opinion “little weight,” finding that Dr. Cervantes provided
“vague, conclusory statements” and that his assessment was
inconsistent with his own treatment notes and with other evidence
in the record. (Administrative Record at 1085-86.)
The court concludes that the ALJ failed to provide good
reasons for discounting the opinion of Dr. Cervantes. Although
the ALJ briefly acknowledged that Plaintiff received “regular
therapy and mediation [sic] management” from Dr. Cervantes (id. at
1085), the ALJ’s decision “does not adequately set forth the extent
of [Dr. Cervantes’s] treatment relationship with Plaintiff.”
Anrisani v. Saul, 2022 WL 969741, at *3 (E.D.N.Y. Mar. 30, 2022).
The extent of this treatment relationship is reflected in dozens
of treatment notes throughout 2013 and 2014 and the prescription
of numerous anxiety related medications, however, the ALJ does not
appear to have considered and discussed the nature, length,
frequency, and substance of the treatment history.
(Administrative Record at 486-503; Stip. at 5-6.) See, e.g.,
Muldoon v. Comm’r of Soc. Sec., 2021 WL 2916880, at *9 (E.D.N.Y.
July 12, 2021) (“[T]he ALJ’s need to take into account the length
of the treatment relationship and frequency of the examinations[]
‘is of heightened importance’ where the claimed impairments
include . . . ‘panic disorder[] and generalized anxiety disorder,’
as is the case here.” (citation omitted)). In addition, the ALJ’s
decision did not even acknowledge Dr. Cervantes’s status as a
specialist. See, e.g., Heuser v. Comm’r of Soc. Sec., 2022 WL
970746, at *8 (E.D.N.Y. Mar. 31, 2022) (explaining that even a
“vague reference [to a treating physician’s specialization] does
not show sufficient consideration of [the treating physician’s]
status as a specialist in weighing his opinion” (alterations
original; citation omitted)).
The ALJ’s decision also failed to adequately consider
the significant evidence in the record supporting Dr. Cervantes’s
opinion. This evidence included several trips to the emergency
room and hospital between 2011 and 2013 for anxiety-related medical
issues; a plethora of anxiety medications that proved ineffective;
and consistent reports of disabling anxiety and panic attacks.
(See, e.g., Stip. at 3-7.) Although the ALJ identified certain
portions of medical records where Dr. Cervantes indicated that
Plaintiff exhibited normal speech, behavior, and thought process
(Administrative Record at 1085), remand is warranted where, as
here, the ALJ’s reasons for discounting a treating physician’s
opinion “are based, at least in part, on an improper, selective
reading of the record.” Lovett v. Comm’r of Soc. Sec., 2021 WL
4463105, at *5 (E.D.N.Y. Sept. 29, 2021); see also, e.g., Estrella
v. Berryhill, 925 F.3d 90, 97 (2d Cir. 2019) (explaining that
“cherry-picked treatment notes do not provide ‘good reasons’ for
minimizing [a treating physician’s] opinion”).
In rejecting Dr. Cervantes’s opinion, the ALJ also
relied on Plaintiff’s statement that “she has to do everything at
home.” (Administrative Record at 1085.) In the ALJ’s view, this
stray remark indicated that Plaintiff “retained the capacity for
a wide range of unskilled work activities.” (Id.) “[I]t is well-
settled,” however, “that the performance of basic daily activities
does not necessarily contradict allegations of disability, as
people should not be penalized for enduring the pain of their
disability in order to care for themselves.” Sutton v. Comm’r of
Soc. Sec., 2022 WL 970748, at *9 (E.D.N.Y. Mar. 31, 2022) (citation
omitted); see also, e.g., Murdaugh v. Sec’y of Dep’t of Health &
Human Servs., 837 F.2d 99, 102 (2d Cir. 1988) (“[T]hat appellant
receives conservative treatment, waters his landlady’s garden,
occasionally visits friends and is able to get on and off an
examination table can scarcely be said to controvert the medical
evidence.”). The record indicates that Plaintiff was severely
limited in performing basic daily activities, including testimony
from Plaintiff and her husband that Plaintiff relied on others to
shop, cook, clean, and help her out of the car. (See, e.g.,
Administrative Record at 1131, 1142-45.)
Having reviewed the record, the court has no assurance
“that the substance of the treating physician rule was not
traversed.” Estrella, 925 F.3d at 96 (citation omitted).
Accordingly, the court concludes that remand is warranted because
the ALJ failed to provide good reasons for discounting Dr.
Cervantes’s opinion.
Dr. Cintron. The court also finds that the ALJ failed
to provide good reasons for discounting the opinion of Dr. Miguel
Cintron, Plaintiff’s treating gastroenterologist. Dr. Cintron
began treating Plaintiff in 2009 for various gastroenterological
issues, including abdominal pain, diarrhea, gastrointestinal
bleeding, and internal hemorrhoids, ultimately culminating in
Plaintiff’s diagnosis with and treatment for colon cancer. (Stip.
at 3-10.) In a 2019 opinion, Dr. Cintron stated that prior to
December 31, 2013, Plaintiff’s “frequent episodes” of abdominal
and chest pain – including bouts of diarrhea up to seven times per
day – would have made working a full-time job “difficult to
manage.” (Administrative Record at 2661-62.)
Although the ALJ discussed two other opinions written by
Dr. Cintron, from 2014 and 2015, the ALJ failed to adequately
explain or provide good reasons for discounting Dr. Cintron’s 2019
opinion. Instead, the ALJ erroneously considered Dr. Cintron’s
2019 opinion as related only to Plaintiff’s colon cancer (id. at
1079), without acknowledging the other significant
gastroenterological issues on which Dr. Cintron opined. See, e.g.,
Epstein v. Comm’r of Soc. Sec., 2020 WL 5708716, at *5 (E.D.N.Y.
Sept. 24, 2020) (“[T]he ALJ’s failure to explain his decision not
to credit the opinion of Plaintiff’s treating physician supports
remand.”). Importantly, the treating physician rule “appl[ies] to
treating physicians’ retrospective opinions as well as
contemporaneous ones.” Greif v. Kijakazi, 2022 WL 280605, at *3
(E.D.N.Y. Jan. 31, 2022). On remand, the ALJ should specifically
analyze the medical evidence in the context of Dr. Cintron’s 2019
opinion regarding Plaintiff’s condition prior to December 31,
2013.
In addition, Dr. Cintron’s 2015 opinion may be relevant
to Plaintiff’s condition prior to the date last insured. “The
Second Circuit has ‘observed, repeatedly, that evidence bearing
upon an applicant’s condition subsequent to the [date last insured]
is pertinent evidence in that it may disclose the severity and
continuity of impairments existing before the . . . date or may
identify additional impairments which could reasonably be presumed
to have been present.” Bogdan K. v. Kijakazi, 2021 WL 3486868, at
*5 (D. Conn. Aug. 9, 2021) (quoting Pollard v. Halter, 377 F.3d
183, 193-94 (2d Cir. 2004)); see also, e.g., David F. v. Comm’r of
Soc. Sec., 2021 WL 2985152, at *4 (W.D.N.Y. July 15, 2021). Thus,
contrary to the ALJ’s reasoning (Administrative Record at 1086),
the court finds that the date of Dr. Cintron’s opinion does not –
standing alone – provide a good reason for discounting it.
Similarly, the court finds no support in the record for the ALJ’s
conclusory statement that Dr. Cintron’s 2015 opinion was
“unrelated to her functional abilities prior to December 31, 2013.”
(Id.) Although Dr. Cintron’s 2015 opinion discussed Plaintiff’s
treatment for colon cancer, his opinion also relates to Plaintiff’s
diarrhea, abdominal pain, and hemorrhoids, among other issues, and
discusses Plaintiff’s colon cancer in the context of Dr. Cintron’s
multi-year treatment of Plaintiff for various gastroenterological
issues. (Id. at 586-87.) Accordingly, the ALJ’s failure to
provide good reasons for discounting Dr. Cintron’s opinions also
warrants remand.
II. The ALJ Improperly Discounted Plaintiff’s Subjective
Complaints
The court also finds that the ALJ’s errors with respect
to the medical opinion evidence, discussed above, “necessarily
undermine[] the decision to discount Plaintiff’s subjective
complaints regarding [her] physical limitations.” Bienvenido J.P.
v. Comm’r of Soc. Sec., 2022 WL 901612, at *8 (S.D.N.Y. Mar. 28,
2022). “An ALJ must follow a two-step framework for evaluating
allegations of pain and other limitations.” Anrisani, 2022 WL
969741, at *4. “At the first step, the ALJ must decide whether
the claimant suffers from a medically determinable impairment that
could reasonably be expected to produce the symptoms alleged.”
Genier v. Astrue, 606 F.3d 46, 49 (2d Cir. 2010). “If the claimant
does suffer from such an impairment, at the second step, the ALJ
must consider ‘the extent to which [the claimant's] symptoms can
reasonably be accepted as consistent with the objective medical
evidence and other evidence’ of record.” Id. (alteration original;
citation omitted). Among other factors, an ALJ must consider:
Plaintiff’s daily activities; the location, duration, frequency,
and intensity of Plaintiff’s pain or other symptoms; the type,
dosage, effectiveness, and side effects of any medications;
treatment other than medication for Plaintiff’s pain or other
symptoms; and any other measures that Plaintiff uses or has used
to relieve her pain or other symptoms. 20 C.F.R. § 404.1529(c)(3).
The ALJ discounted Plaintiff’s testimony, finding that
her “statements concerning the intensity, persistence[,] and
limiting effects of [her] symptoms are not entirely consistent
with the medical evidence and other evidence in the record.”
(Administrative Record at 1083.) In particular, the ALJ found
Plaintiff’s claims “inconsistent because they [were] not reported
in a longitudinal basis prior to the date she was last insured for
benefits.” (Id. at 1084.)
Based on this limited explanation, the court concludes
that remand is warranted because the ALJ “did not identify what
facts [she] found to be significant, indicate how [she] balanced
the various factors, or specify which of [the] Plaintiff’s alleged
symptoms [she] found to be not credible.” Cabibi v. Colvin, 50
F. Supp. 3d 213, 239 (E.D.N.Y. 2014) (third alteration original;
citation omitted). An ALJ’s credibility determination must “be
set forth with sufficient specificity to permit intelligible
plenary review of the record.” Sutton, 2022 WL 970748, at *9
(citation omitted); see also, e.g., Monteith v. Comm’r of Soc.
Sec., 2021 WL 2895655, at *6 (E.D.N.Y. July 9, 2021); DePaulo v.
Saul, 2021 WL 1193187, at *6 (E.D.N.Y. Mar. 30, 2021). The ALJ’s
failure to adhere to these standards, and to specifically discuss
the factors set forth at 20 C.F.R. § 404.1529(c)(3) with respect
to Plaintiff’s subjective complaints, warrants remand in this
case.
III. The ALJ’s RFC Finding Was Not Supported By Substantial
Evidence
As a result of the ALJ’s errors in discounting the
opinions of Plaintiff’s treating physicians and Plaintiff’s
subjective complaints, the ALJ also reached an RFC determination
that was not supported by substantial evidence. The ALJ concluded
that Plaintiff had the ability to perform light work, except that
she “is able to climb ramps and stairs frequently; climb ladders,
ropes, or scaffolds occasionally; stoop, kneel, crouch, [and]
crawl occasionally; work with moving mechanical parts
occasionally; and work in an environment where noise level does
not exceed moderate noise.” (Administrative Record at 1082.) The
ALJ also found that Plaintiff could not work at heights, but could
understand simple oral instructions, perform routine tasks,
frequently interact with others, and tolerate occasional changes
in routine work setting. (Id.)
“When the record indicates that a claimant might need to
be off-task for a substantial part of the workday, the ALJ should
consider whether this would preclude the claimant from performing
past relevant work or transitioning to other work.” Lopez v.
Kijakazi, 2021 WL 4463288, at *3 (E.D.N.Y. Sept. 29, 2021); see
also, e.g., Robert S. v. Comm’r of Soc. Sec., 2022 WL 1539544, at
*3 (W.D.N.Y. May 16, 2022) (finding that “remand is required” where
“the ALJ did not incorporate any need for restroom breaks in the
RFC”). Here, Dr. Cintron’s retrospective 2019 opinion addressed
Plaintiff’s abdominal pain and frequent bouts of diarrhea, up to
seven times per day, which were exacerbated by her anxiety and
which would make it difficult to concentrate on tasks and perform
full-time work. (Administrative Record at 2659, 2661-62.) Given
that the vocational expert at the hearing testified that employers
will tolerate no more than 10% of time off-task (id. at 1155),
proper consideration of Dr. Cintron’s opinions could lead to the
conclusion that Plaintiff’s gastroenterological issues would
preclude any full-time work. Similarly, proper consideration of
Dr. Cervantes’s opinions could result in further restrictions on
Plaintiff’s ability to perform work tasks due to her difficulty
concentrating and following through on instructions.
In addition, the ALJ provided no basis for her
conclusions that Plaintiff could perform the requirements of light
work. See, e.g., Cichocki v. Astrue, 729 F.3d 172, 177 (2d Cir.
2013) (explaining that remand is warranted where “inadequacies in
the ALJ’s analysis frustrate meaningful review”). For example,
light work requires the ability to lift up to twenty pounds and
frequently lift up to ten pounds. See 20 C.F.R. § 404.1567(b).
Here, there was evidence that Plaintiff could not satisfy these
requirements, including her testimony that she could not lift a
bottle of milk and Dr. Cintron’s 2015 opinion – which may bear on
her condition prior to the date last insured – that she could not
lift more than ten pounds. (Administrative Record at 589, 1131.)
The ALJ, however, provided no basis for her conclusion that
Plaintiff could perform the lifting requirements of light work,
frustrating meaningful review and requiring remand. Similarly,
the ALJ failed to provide any explanation or basis for Plaintiff’s
ability to listen to instructions and to frequently interact with
others, despite evidence from Dr. Cervantes regarding Plaintiff’s
inability to concentrate and function in a work setting. (See
Stip. at 13.) On remand, the ALJ should specifically address the
requirements of light work and explain her basis for concluding
that Plaintiff can satisfy these requirements, despite her various
limitations.
IV. Plaintiff’s Remaining Arguments
Plaintiff raises several other challenges to the ALJ’s
decision, including that the ALJ erred in concluding that
Plaintiff’s mental impairments did not meet or equal the listing
for anxiety; that the agency’s vocational expert failed to
establish Plaintiff’s ability to adjust to other work; and that
the ALJ failed to make required inferences as to the onset of
disability. (Pl.’s Mem. at 19-22, 27-30.) Having concluded that
the ALJ erred with respect to Plaintiff’s treating physicians,
subjective complaints, and RFC, the court need not reach these
other arguments. See, e.g., Schultz v. Saul, 2020 WL 5752138, at
*3 n.7 (E.D.N.Y. Sept. 25, 2020). On remand, the ALJ will have
the opportunity to properly evaluate the medical opinions and
Plaintiff’s testimony, consider whether the requirements of any
listing are satisfied, and ask any appropriate questions to a
vocational expert.
Plaintiff requests that the court remand for the
calculation of benefits only. (Pl.’s Mem. at 30.) “[B]ecause the
record does not lead to the definitive conclusion that Plaintiff
is disabled,” however, the court will remand for further
administrative proceedings. Anrisani, 2022 WL 969741, at *5
(citing Williams v. Apfel, 204 F.3d 48, 50 (2d Cir. 2000)). In
the alternative, Plaintiff requests that the case be assigned to
a different ALJ on remand. (Pl.’s Mem. at 30.) “Courts have
ordered the Commissioner to reassign a case to a new ALJ on remand
where the ALJ’s conduct ‘g[a]ve[] rise to serious concerns about
the fundamental fairness of the disability review process[.]’”
Hernandez v. Comm’r of Soc. Sec., 2021 WL 5999623, at *8 n.4
(E.D.N.Y. Dec. 19, 2021) (alterations original; citation omitted).
Having reviewed the record, the court concludes that reassignment
is inappropriate because the ALJ’s conduct does not raise
sufficiently serious concerns about the fairness of the
proceeding. See, e.g., Mack v. Comm’r of Soc. Sec., 2021 WL
3684081, at *20 (S.D.N.Y. July 26, 2021) (“The unexplained
rejection of relevant medical evidence . . . without additional
evidence of partiality, incompetence, or bias, constitutes a legal
error, not a legal error induced by hostility.” (citation
omitted)), report and recommendation adopted, 2021 WL 3683628
(S.D.N.Y. Aug. 17, 2021).
CONCLUSION
For the foregoing reasons, Plaintiff’s motion for
judgment on the pleadings is GRANTED, Defendant’s motion for
judgment on the pleadings in DENIED, and this case is REMANDED for
further proceedings consistent with this Memorandum and Order.
The Clerk of Court is directed to enter judgment accordingly and
close this case.
SO ORDERED.
/s/ Kiyo A. Matsumoto_______
Hon. Kiyo A. Matsumoto
United States District Judge
Eastern District of New York
Dated: Brooklyn, New York
June 6, 2022