it is within the province of the ALJ to resolve contradictions between the consultative examinations findings and the consultative examiner’s conclusions
How later courts described this case
- it is within the province of the ALJ to resolve contradictions between the consultative examinations findings and the consultative examiner’s conclusions
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
WESTERN DISTRICT OF NEW YORK
______________________________________
DEBORAH W.,
DECISION
Plaintiff, and
v. ORDER
ANDREW M. SAUL,1 Commissioner of 19-CV-01236F
Social Security, (consent)
Defendant.
______________________________________
APPEARANCES: LAW OFFICES OF KENNETH R. HILLER, PLLC
Attorneys for Plaintiff
KENNETH R. HILLER, and
JUSTIN DAVID JONES, of Counsel
6000 North Bailey Avenue, Suite 1A
Amherst, New York 14226
JAMES P. KENNEDY, JR.
UNITED STATES ATTORNEY
Attorney for Defendant
Federal Centre
138 Delaware Avenue
Buffalo, New York 14202
and
NAHID SOROOSHYARI
Special Assistant United States Attorney, of Counsel
Social Security Administration
Office of General Counsel
26 Federal Plaza, Room 3904
New York, New York 10278
JURISDICTION
On October 14, 2020, this matter was assigned to the undersigned before whom
the parties to this action consented pursuant to 28 U.S.C. § 636(c) to proceed in
1 Andrew M. Saul became the Commissioner of the Social Security Administration on June 17, 2019, and,
pursuant to Fed.R.Civ.P. 25(d), is substituted as Defendant in this case. No further action is required to
continue this suit by reason of sentence one of 42 U.S.C. § 405(g).
accordance with this court’s June 29, 2018 Standing Order (Dkt. 14). The matter is
presently before the court on motions for judgment on the pleadings filed by Plaintiff on
February 26, 2020 (Dkt. 12), and by Defendant on May 19, 2020 (Dkt. 16).
BACKGROUND
Plaintiff Deborah W. (“Plaintiff”), brings this action under Title II of the Social
Security Act (“the Act”), 42 U.S.C. §§ 405(g) and 1383(c)(3), seeking judicial review of
the Commissioner of Social Security’s final decision denying Plaintiff’s application filed
on February 1, 2016 with the Social Security Administration (“SSA”), for Supplemental
Security Income (“SSI”) under Title XVI of the Act (“disability benefits”). Plaintiff alleges
she became disabled on September 9, 2014, based on asthma, a back condition,
hypertension, bipolar disorder, seizures, hepatitis C, heart condition described as
“blockage near heart,” lower back pain attributed to sciatic nerve damage in her back
since 2016, chronic pain that “shoots down legs,” joint pain and constant tiredness
attributed to rheumatoid arthritis since 2015, brain issues since 2015 including short
term memory and visual hallucinations, bipolar/depression/anxiety disorders causing
moods swings and anger, diabetes type 2, and high cholesterol. AR2 at 378, 391.
Plaintiff’s application initially was denied on May 19, 2016, AR at 278-89, and at
Plaintiff’s timely request, on April 18, 2018, a hearing was held in Buffalo, New York
before administrative law judge Carl E. Stephan (“the ALJ”). AR at 145-66
(“administrative hearing”). Appearing and testifying at the administrative hearing were
2 References to “AR” are to the CM/ECF-generated page numbers of the Administrative Record
electronically filed by Defendant on December 16, 2019 in nine parts (Dkts. 6 through 6-4 and 7 through
7-3).
Plaintiff, represented by Laura Henskee, Esq. (“Henskee”), and vocational expert Lisa
Atkinson (“the VE”). On September 27, 2018, the ALJ issued a decision denying
Plaintiff’s claim, AR at 32-63 (“ALJ’s Decision”), which Plaintiff timely appealed to the
Appeals Council. On July 15, 2019, the Appeals Council denied Plaintiff’s request for
review, AR at 1-7, rendering the ALJ’s Decision the Commissioner’s final decision. On
September 13, 2019, Plaintiff commenced the instant action in this court seeking judicial
review of the ALJ’s Decision.
On February 26, 2020, Plaintiff moved for judgment on the pleadings (Dkt. 12)
(“Plaintiff’s Motion”), attaching the Memorandum of Law in Support of Plaintiff’s Motion
for Judgment on the Pleadings (Dkt. 12-1) (“Plaintiff’s Memorandum”). On May 19,
2020, Defendant moved for Judgment on the pleadings (Dkt. 16) (“Defendant’s
Motion”), attaching Commissioner’s Brief in Support of His Motion for Judgment on the
Pleadings and in Response to Plaintiff’s Brief Pursuant to Local Rule 5.5 (Dkt. 16-1)
(“Defendant’s Memorandum”). Filed on June 5, 2020 was Plaintiff’s Reply Brief to
Defendant’s Motion for Judgment on the Pleadings (Dkt. 17) (“Plaintiff’s Reply”). Oral
argument was deemed unnecessary.
Based on the foregoing, Plaintiff’s Motion is DENIED; Defendant’s Motion is
GRANTED.
FACTS3
Plaintiff Deborah W. (“Plaintiff”), born May 13, 1974, was 40 years old as of
September 9, 2014, her alleged disability onset date (“DOD”), and 44 years old as of
3 In the interest of judicial economy, recitation of the Facts is limited to only those necessary for
determining the pending motions for judgment on the pleadings.
September 27, 2018, the date of the ALJ’s Decision. AR at 378, 391. As of the
administrative hearing, Plaintiff lived alone in a single-family house, was divorced with
three adult children, has an eighth-grade education,4 and had not completed any
specialized job training, trade, or vocational school. AR at 174, 395, 403, 1731. Plaintiff
maintains her impairments interfere with her ability to perform self-care and grooming,
and limits her activities of daily living to watching television, but Plaintiff prepares simple
meals for herself on a daily basis. AR at 403-05. Plaintiff maintains she cannot perform
house work or yard work, AR at 405, and does not go outside very often, but when she
does, she cannot go out alone and relies on a family member for transportation. AR at
406. Plaintiff shops for groceries in stores once a month, AR at 406, can count change,
but cannot pay bills or handle a savings account, id., and has no hobbies, interests, or
social activities. Id. at 407. Plaintiff last work briefly on an assembly line for a food
service company, AR at 395, and at a gas station. AR at 411.
It is undisputed that Plaintiff suffers from numerous physical and psychiatric
impairments including, inter alia, and most relevant here, a depressive disorder with
anxiety, asthma, diabetes, seizures, and rheumatoid arthritis. Plaintiff’s obtained mental
health treatment at Dent Neurologic Institute where her treating psychiatrist was Alfred
Belen, M.D. (“Dr. Belen”). AR at 912-23. With regard to her disability benefits
application, on April 28, 2016, Plaintiff underwent an internal medicine evaluation
performed by Donna Miller, D.O. (“Dr. Miller”), AR at 1725-29, and a psychiatric
evaluation performed by psychologist Janine Ippolito, Psy.D. (“Dr. Ippolito”), AR at
1730-35. Plaintiff’s medical record was also reviewed by non-examining psychiatric
4 Plaintiff also reports she graduated high school, where she was in special education classes because of
a learning disorder. AR at 1731.
medical expert Daryl DiDio, Ph.D., (“Dr. DiDio”), on July 7, 2018, AR at 6628-35.
Plaintiff received psychiatric counseling from mental health counselor Nyenya Tooles
(“M.H.C. Tooles”), from July 2017 until February 26, 2018. AR at 4327-34, 6048-52,
6065-91.
DISCUSSION
1. Standard and Scope of Judicial Review
A claimant is “disabled” within the meaning of the Act and entitled to disability
benefits when she is unable “to engage in any substantial gainful activity by reason of
any medically determinable physical or mental impairment which . . . has lasted or can
be expected to last for a continuous period of not less than 12 months.” 42 U.S.C. §§
416(i)(1); 1382c(a)(3)(A). A district court may set aside the Commissioner’s
determination that a claimant is not disabled if the factual findings are not supported by
substantial evidence, or if the decision is based on legal error. 42 U.S.C. §§ 405(g),
1383(c)(3); Green-Younger v. Barnhart, 335 F.3d 99, 105-06 (2d Cir. 2003). In
reviewing a final decision of the SSA, a district court “is limited to determining whether
the SSA’s conclusions were supported by substantial evidence in the record and were
based on a correct legal standard.” Talavera v. Astrue, 697 F.3d 145, 151 (2d Cir.
2012) (internal quotation marks and citation omitted). “Substantial evidence is more
than a mere scintilla. It means such relevant evidence as a reasonable mind might
accept as adequate to support a conclusion.” Id. It is not, however, the district court’s
function to make a de novo determination as to whether the claimant is disabled; rather,
“the reviewing court is required to examine the entire record, including contradictory
evidence and evidence from which conflicting inferences can be drawn” to determine
whether the SSA’s findings are supported by substantial evidence. Id. “Congress has
instructed . . . that the factual findings of the Secretary,5 if supported by substantial
evidence, shall be conclusive.” Rutherford v. Schweiker, 685 F.2d60, 62 (2d Cir. 1982).
The Supreme Court recently reaffirmed that the threshold for substantial evidence “is
not high . . . . It means – and means only – such relevant evidence as a reasonable
mind might accept as adequate to support a conclusion.” Biestek v. Berryhill, __ U.S.
__; 139 S.Ct. 1148, at 1154 (2019) (internal citation and quotation marks omitted). As
such, the issue is not whether substantial evidence supports the claimant’s argument,
but “whether substantial evidence supports the ALJ’s decision.” Bonet ex rel. T.B. v.
Colvin, 523 Fed.Appx. 58, 59 (2d Cir. 2013) (italics in original). “Under this ‘very
deferential standard of review,’ ‘once an ALJ finds facts, we can reject those facts only if
a reasonable factfinder would have to conclude otherwise.’” Id., 523 Fed.Appx. at 58-59
(quoting Brault v. Social Sec. Admin., Comm’r, 683 F.3d 443, 448 (2d Cir. 2012) (italics
in original).
2. Disability Determination
The definition of “disabled” is the same for purposes of receiving SSDI and SSI
benefits. Compare 42 U.S.C. § 423(d) with 42 U.S.C. § 1382c(a). The applicable
regulations set forth a five-step analysis the Commissioner must follow in determining
eligibility for disability benefits. 20 C.F.R. §§ 404.1520 and 416.920. See Bapp v.
Bowen, 802 F.2d 601, 604 (2d Cir. 1986); Berry v. Schweiker, 675 F.2d 464 (2d Cir.
5 Pursuant to the Social Security Independence and Program Improvements Act of 1994, the function of
the Secretary of Health and Human Services in Social Security cases was transferred to the
Commissioner of Social Security, effective March 31, 1995.
1982). The first step is to determine whether the applicant is engaged in substantial
gainful activity during the period for which the benefits are claimed. 20 C.F.R. §§
404.1520(b) and 416.920(b). The second step is whether the applicant has a severe
impairment which significantly limits the physical or mental ability to do basic work
activities, as defined in the relevant regulations. 20 C.F.R. §§ 404.1520(c) and
416.920(c). Third, if there is an impairment and the impairment, or its equivalent, is
listed in 20 C.F.R. Part 404, Subpart P, Appendix 1 of the regulations (“Appendix 1” or
“the Listings”), and meets the duration requirement of at least 12 continuous months,
there is a presumption of inability to perform substantial gainful activity, and the claimant
is deemed disabled, regardless of age, education, or work experience. 42 U.S.C. §§
423(d)(1)(A) and 1382a(c)(3)(A); 20 C.F.R. §§ 404.1520(d) and 416.920(d). As a fourth
step, however, if the impairment or its equivalent is not listed in Appendix 1, the
Commissioner must then consider the applicant’s “residual functional capacity” or “RFC”
which is the ability to perform physical or mental work activities on a sustained basis,
notwithstanding the limitations posed by the applicant’s collective impairments, see 20
C.F.R. 404.1520(e)-(f), and 416.920(e)-(f), and the demands of any past relevant work
(“PRW”). 20 C.F.R. §§ 404.1520(e) and 416.920(e). If the applicant remains capable of
performing PRW, disability benefits will be denied, id., but if the applicant is unable to
perform PRW relevant work, the Commissioner, at the fifth step, must consider whether,
given the applicant’s age, education, and past work experience, the applicant “retains a
residual functional capacity to perform alternative substantial gainful work which exists
in the national economy.” Rosa v. Callahan, 168 F.3d 72, 77 (2d Cir. 1999) (quotation
marks and citation omitted); 20 C.F.R. §§ 404.1560(c) and 416.960(c). The burden of
proof is on the applicant for the first four steps, with the Commissioner bearing the
burden of proof on the final step. 20 C.F.R. §§ 404.1520(a)(4) and 416.920(a)(4);
Burgess v. Astrue, 537 F.3d 117, 128 (2d Cir. 2008). If the claimant fails to meet the
criteria at either of the first two steps, the inquiry ceases and the claimant is not eligible
for disability benefits, but if the claimant meets the criteria for the third or fourth step, or
if the defendant fails to meet its burden at the fifth step, the inquiry ceases and the
claimant is eligible for disability benefits. Id.
In the instant case, the ALJ found Plaintiff has not engaged in substantial gainful
activity (“SGA”) since February 1, 2016, Plaintiff's application date id. at 37, and suffers
from the severe impairments of a back disorder, arthritis, asthma/chronic obstructive
pulmonary disease (“COPD”), with continued smoking against medical advice, history of
seizures, diabetes mellitus, obesity, anxiety, affective disorders, polysubstance abuse,
AR at 37, that Plaintiff's hypertension, high cholesterol, hepatitis C, and cataracts do not
cause more than a minimal limitations to Plaintiff’s ability to perform basic physical and
mental work-related functions and, as such, are not severe, and that Plaintiff’s asserted
calcium deficiency and heart disorder are not reflected in any of Plaintiff’s medical
records, nor do any records support Plaintiff’s claimed learning disorder, intellectual
deficiency, or cognitive disorder and, as such, these asserted disorders are not
medically determinable impairments. AR at 38-39. The ALJ then determined that
Plaintiff does not have an impairment or combination of impairments meeting or
medically equal to the severity of any listed impairment in 20 C.F.R. Part 404, Subpart
P, Appendix 1. Id. at 39-41. The ALJ further found that despite her impairments,
Plaintiff retains the RFC to perform light work as defined in 20 C.F.R. § 404.1567(b),
except that Plaintiff can occasionally climb stairs and ramps, balance, kneel, crouch and
crawl, cannot climb ladders or scaffolds, cannot be exposed to unprotected heights or
dangerous machinery, extremes in temperature or humidity, or concentrated respiratory
irritants, can perform basic mental demands of work including being able to understand,
remember, and carry out simple instructions, perform simple, unskilled work with
frequent but not constant interactions with the public, co-workers, and supervisors, and
is able to respond to frequent changes in the work setting. AR at 41-55. The ALJ
further found that Plaintiff has no PRW, AR at 55, yet given Plaintiff’s RFC, age, limited
education, and ability to communicate in English, and based on the Medical-Vocational
Rules (“the Grids”), 20 C.F.R. Pt. 404, Subpt. P, App. 2, Plaintiff is not disabled and can
perform jobs that exist in significant numbers in the national economy. Id. at 55. Based
on these findings, the ALJ determined Plaintiff is not disabled as defined under the Act.
Id. at 56.
Plaintiff does not contest the ALJ’s findings with regard to the first three steps of
the five-step analysis, but argues that at the fourth step, the ALJ’s RFC assessment is
not supported by substantial evidence because the ALJ, while affording significant
weight to Dr. Ippolito’s consultative opinion, excluded that portion of Dr. Ippolito’s finding
that Plaintiff had a moderate limitation to stress and relating to others, Plaintiff’s
Memorandum at 27-31, improperly relied on the opinion of Dr. DiDio who did not
examine Plaintiff and whose statement that Plaintiff could keep to a schedule and relate
to peers, supervisors, and the public on a “regular,” but not “constant” basis is
impermissibly “vague,” id. at 31-34, and failed to afford proper weight to the findings of
M.H.C. Tooles. Id. at 34-40. Defendant argues the ALJ properly evaluated Dr.
Ippolito’s moderate limitation to stress by determining that Plaintiff was capable of
performing simple, unskilled work, and the source opinions of record by Plaintiff’s
treating sources, Defendant’s Memorandum at 7-11, reasonably weighed the opinions
of Dr. DiDio, id. at 11-14, and M.H.C. Tooles, id. at 14-17, and that substantial evidence
supports the ALJ’s RFC finding. Id. at 17-18. In reply, Plaintiff repeats her arguments
that the ALJ failed to reconcile the limitations pertaining to stress found by Dr. Ippolito
with the RFC determination, Plaintiff’s Reply at 1-3, Dr. DiDio’s opinion was
impermissibly vague, id. at 3, and the ALJ did not properly evaluate M.H.C. Tooles’s
opinion. Id. at 4. There is no merit to Plaintiff’s arguments.
Preliminarily, the court observes that Plaintiff limits her arguments to her mental
impairments and, accordingly, Plaintiff has waived any challenge to the ALJ’s Decision
based on any physical impairments. Cf. Glover v. Saul, 2020 WL 90768, at * 5
(W.D.N.Y. Jan. 8, 2020) (although the claimant asserted both mental and physical
impairments in applying for disability benefits, in considering the plaintiff’s action
challenging the ALJ’s decision, the court found the claim waived as to the mental
impairments because the plaintiff raised issues only with regard to his physical
impairments).
With regard to Plaintiff’s first argument, as relevant, on April 28, 2016, Dr. Ippolito
completed a consultative psychiatric evaluation of Plaintiff, and evaluated Plaintiff with
moderate limitations to relating adequately with others and appropriately dealing with
stress, mild limitations to understanding and performing simple tasks, maintaining a
regular schedule, attention and concentration, performing complex tasks independently,
and making appropriate decisions, opining that Plaintiff's limitations were not significant
enough to interfere with Plaintiff's ability to function on a daily basis. AR at 1731-34.
The ALJ afforded “significant weight” to Dr. Ippolito’s opinion based on Dr. Ippolito’s role
as an examining physician, and because Dr. Ippolito’s mild and moderate limitation
assessments are consistent with the treatment notes of record. AR at 52-53. This
determination by the ALJ is supported by substantial evidence in the record.
Specifically, as the ALJ found, AR at 53-54, Dr. Ippolito’s psychiatric evaluation
of Plaintiff was consistent with the opinion of medical expert and board certified
psychologist Dr. DiDio that Plaintiff had no limitations to understanding, remembering
and carrying out simple instructions, mild limitations to interacting appropriately with the
public, mild to moderate limitations to interacting with supervisors and coworkers,
responding appropriately to usual work situations and changes in a routine work setting,
moderate limitations to understanding, remembering and applying information for
complex tasks, interacting with others and mild limitations concentrating, persisting or
maintaining pace and adapting and managing herself. AR at 53-54 (citing AR 6628-42).
The ALJ further found that Dr. Ippolito’s opinion regarding Plaintiff's moderate limitation
to stress was also inconsistent with the opinion of Dr. Belen, Plaintiff’s treating
psychiatrist. AR at 48-49, 51 (citing AR at 912-23). As such, the ALJ acted within his
authority in relying on a portion of Dr. Ippolito’s findings while rejecting those portions of
the consultative psychologist’s assessment that are contradicted by the psychological
examination. See Heaman v. Berryhill, 765 Fed. Appx. 498, 500 (2d Cir. 2019) (ALJ
may choose between properly submitted medical opinions that include consultative
opinions); Veino v. Barnhart, 312 F.3d 578, 588 (2d Cir. 2002) (it is within the province
of the ALJ to resolve contradictions between the consultative examinations findings and
the consultative examiner’s conclusions). Plaintiff's motion on this issue is therefore
DENIED.
Nor is there any merit to Plaintiff’s argument that the ALJ improperly relied on the
opinion of Dr. DiDio who did not examine Plaintiff and rendered an opinion that was
impermissibly “vague.” Plaintiff’s Memorandum at 31-35. As Defendant argue,
Defendant’s Memorandum at 11-14, not only are ALJs permitted to “ask for and
consider opinions from medical experts on the nature and severity of [an individual’s]
impairment(s),” id. (quoting 20 C.F.R. § 416.927(e)(2)(iii) (bracketed material added),
but a non-examining consultative medical expert’s opinion may constitute substantial
evidence supporting the denial of disability benefits if supported by substantial evidence
in the record. Id. (citing Heaman v. Berryhill, 765 Fed.Appx. 498, 500 (2d Cir. 2019)
(holding substantial evidence, including the consultative non-examining medical expert’s
opinion and treatment notes contradicting the opinions of the plaintiff’s treating
physicians, supported the ALJ’s determination that the plaintiff was not disabled)). It is
significant that the relevant regulations require ALJs consider the opinions of state
agency consultants because they are highly qualified experts in Social Security
disability evaluations. 20 C.F.R. § 416.913a(b)(2), 416.927(c) and (e). Based on these
same criteria, the opinions of such non-examining sources can constitute substantial
evidence in support of an ALJ’s decision. Diaz v. Shalala, 59 F.3d 307, 313 n. 5 (2d Cir.
1995). Accordingly, the ALJ did not err in relying on Dr. DiDio’s opinion.
Moreover, Dr. DiDio’s opinion was not, as Plaintiff maintains, impermissibly
“vague.” As relevant here, on July 7, 2018, after reviewing Plaintiff’s medical record, Dr.
DiDio stated Plaintiff’s medical record “supports the opinion that entry level, simple
tasks can be performed. Attention, concentration & pace are adequate. The [Plaintiff]
can keep a schedule & can relate to peers/supervisors/public on a regular [sic]; however
not on a constant basis.” AR at 6635. Plaintiff maintains because it is not clear for how
long a period the word “regular” refers, the word “regular” is impermissibly vague such
that Dr. DiDio’s opinion does not constitute substantial evidence to support the ALJ’s
decision. Plaintiff’s Memorandum at 32-33. Plaintiff, however, ignores that in a
subsequent report on August 17, 2018, Dr. DiDio was asked to respond to the following,
would an individual with the ailments as presented in the medical evidence be
able to: perform simple tasks; keep adequate attention, concentration and pace;
maintain a consistent schedule; and relate to peers, supervisors, and the public
on a “sustained basis?” (Sustained Basis: ability to perform work-related
activities eight hours a day for five days a week, or an equivalent work schedule [
]). Please state whether such an individual could or could not perform the above
listed tasks, then cite evidence supporting your opinion.
AR at 6642.
Dr. DiDio’s response was, “Yes. The [Plaintiff] can perform simple tasks on a sustained
basis.” AR at 6642. In support of this opinion, Dr. DiDio stated the administrative
records “E section”6 “indicates & reflects [Plaintiff’s] abilities within the cognitive
domain.” Id. The ALJ further stated that administrative records exhibits 2F, 5F, 6F, 7F
and 9F (containing office treatment records from both mental and physical health
providers including, inter alia, treating psychiatrist Dr. Belen), “do not suggest significant
difficulties within the social domains which would contraindicate interaction with others
on any sustained basis.” AR at 6642. Accordingly, Plaintiff’s argument that Dr. DiDio’s
opinion, with respect to Plaintiff’s ability to work on a “regular basis” is impermissibly
6 Referencing the administrative record’s exhibits consisting of forms completed by Plaintiff in connection
with her disability benefits application including Plaintiff’s own description of her asserted impairments
and the impact of such impairments on Plaintiff’s activities of daily living, employment history, and
medications.
vague, even if true, is irrelevant in light of Dr. DiDio’s subsequent statement clarifying
that Plaintiff can work on a sustained basis, and, thus, fails to establish the ALJ’s
decision is not supported by substantial evidence in the record.
Also without merit is Plaintiff's argument, Plaintiff's Memorandum at 34-40, that
the ALJ erred in affording little weight to M.H.C. Tooles’s opinion. In this case, the ALJ
noted that M.H.C. Tooles, as a mental health counselor, does not qualify under the
relevant regulations as an acceptable medical source whose opinion is entitled to
controlling or significant weight, 20 C.F.R. § 404.1527(c), nor does the Plaintiff point to
the use by M.H.C. Tooles of clinically acceptable diagnostic techniques. AR at 53
(citing AR at 4327-34, 6048-52). Although “the ALJ is certainly free to consider the
opinion of [other medical sources] in making his overall assessment of a claimant’s
impairments and residual abilities, those opinions do not demand the same deference
as those of a treating physician,” or other acceptable source. Genier v. Astrue, 298
Fed.Appx. 105, 108 (2d Cir. 2008).
Moreover, the medical evidence in the record does not support the restrictions
assessed by M.H.C. Tooles. In particular, despite indicating Plaintiff was very limited in
nearly all aspects of mental functioning, AR at 4333, 6052, M.H.C. Tooles also indicated
she was unable to assess whether Plaintiff's mental impairment would last longer than
12 months, id., and, as the ALJ observed, Dr. Ippolito noted that Plaintiff reported being
disabled from physical impairments, not mental impairments. AR at 52 (citing AR at
1731). These findings are inconsistent with M.H.C. Tooles’s treatment notes in the
record. AR at 53 (citing AR at 4333 and 6052). Accordingly, the ALJ did not improperly
reject the opinion of M.H.C. Tooles.
To summarize, in the instant case, the evidence in the record establishes at most
that it is susceptible to more than one rational interpretation, including ALJ Romeo’s
decision that Plaintiff is not disabled under the Act. See McIntyre, 758 F.3d at 149 (“If
evidence is susceptible to more than one rational interpretation, the Commissioner’s
conclusion must be upheld.”); Bonet ex rel. T.B., 523 Fed.Appx. at 58-59 (“Under this
‘very deferential standard of review [applicable to actions challenging an administrative
decision on a disability benefits claim],’ ‘once an ALJ finds facts, we can reject those
facts only if a reasonable factfinder would have to conclude otherwise.’” (quoting Brault,
683 F.3d at 448 (italics in original)). Indeed, the issue is not whether substantial
evidence supports the claimant’s argument, but “whether substantial evidence supports
the ALJ’s decision.” Bonet ex rel. T.B., 523 Fed.Appx. at 59 (italics in original). Despite
the possibility of an alternate interpretation, in this case, the record provides substantial
evidence to sustain the ALJ’s decision.
CONCLUSION
Based on the foregoing, Plaintiff’s Motion (Dkt. 12) is DENIED; Defendant’s
Motion (Dkt. 16) is GRANTED. The Clerk of Court is directed to close the file.
SO ORDERED.
/s/ Leslie G. Foschio
______________________________________
LESLIE G. FOSCHIO
UNITED STATES MAGISTRATE JUDGE
DATED: March 30th, 2021
Buffalo, New York