if supported by substantial evidence, the Commissioner’s decision must be affirmed, as a federal court may neither reweigh the evidence, nor reverse, merely because it would have decided the claim differently
How later courts described this case
- if supported by substantial evidence, the Commissioner’s decision must be affirmed, as a federal court may neither reweigh the evidence, nor reverse, merely because it would have decided the claim differently
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF PENNSYLVANIA
STEPHANIE PHELPS, )
o/b/o JIMMY THEADOR DAVIDS, )
)
Plaintiff, )
)
v. ) Civil Action No. 23-175-E
)
MARTIN J. O’MALLEY,1 )
Commissioner of Social Security, )
)
Defendant. )
)
O R D E R
AND NOW, this 31st day of May, 2024, upon consideration of the parties’ cross-
motions for summary judgment, the Court, after reviewing the Commissioner of Social
Security’s final decision denying Plaintiff’s claim for disability insurance benefits under
Subchapter II2 of the Social Security Act, 42 U.S.C. §§ 401 et seq., finds that the
Commissioner’s findings are supported by substantial evidence and, accordingly, affirms.
See 42 U.S.C. § 405(g); Biestek v. Berryhill, 139 S. Ct. 1148, 1153-54 (2019); Jesurum v.
1 Martin O’Malley is substituted as the defendant in this matter, replacing former Acting
Commissioner Kilolo Kijakazi pursuant to Federal Rule of Civil Procedure 25(d) and 42 U.S.C. §
405(g).
2 Plaintiff originally filed both Title II and Title XVI applications, but he has since passed
away. As he was unmarried, his Title XVI application extinguished upon his death. (Doc. No.
8 at 2); See 20 C.F.R. § 416.542(b)(4) (noting that only in certain circumstances, such as with a
surviving spouse, can an SSI claim continue after the claimant’s death). His minor child brings
his Title II claim on his behalf.
1
Secretary of U.S. Dep’t of Health & Human Servs, 48 F.3d 114, 117 (3d Cir. 1995) (citing
Brown v. Bowen, 845 F.2d 1211, 1213 (3d Cir. 1988)). See also Berry v. Sullivan, 738 F.
Supp. 942, 944 (W.D. Pa. 1990) (if supported by substantial evidence, the Commissioner’s
decision must be affirmed, as a federal court may neither reweigh the evidence, nor reverse,
merely because it would have decided the claim differently) (citing Cotter v. Harris, 642
F.2d 700, 705 (3d Cir. 1981)).3
3 Plaintiff argues that the Administrative Law Judge (“ALJ”) erred in crafting the
residual functional capacity (“RFC”) for Claimant Jimmy Theador Davids, on whose
behalf Plaintiff brings this action, because the ALJ failed to properly weigh the medical
opinion evidence, did not apply the treating physician rule, and did not reconcile the RFC
with the opinions given great weight. (Doc. No. 8). As explained below, the Court is
unpersuaded by Plaintiff’s arguments and affirms the ALJ’s finding of non-disability.
This case is before the Court after a stipulated remand from the United States
District Court for the Western District of New York and a subsequent Appeals Council
remand. (R. 1012-19, 1015-19; Doc. No. 8 at 2). As noted, the case is brought by
Stephanie Phelps, on behalf of Claimant Davids, who is deceased. (Doc. No. 8 at 1).
The ALJ held a telephone hearing and issued an unfavorable decision on February 13,
2023. (R. 857-78). In that decision, now on appeal, the ALJ crafted the following RFC:
[T]he claimant has the residual functional capacity to perform light work as
defined in 20 CFR 404.1567(b) and 416.967(b) except the claimant can
stand and walk for six hours total in an eight hour day. He can sit for six
hours in an eight hour day. He can occasionally climb ramps and stairs.
He can occasionally balance, stoop, kneel, and crouch. He can never
climb ladders, ropes or scaffolds, or crawl. He must avoid concentrated
cold temperatures. He must avoid moderate respiratory irritants. He
must avoid concentrated exposure to heights. He should have no work
around machinery with external moving parts, or commercial driving. He
can perform occasional near acuity which is defined as being able to avoid
normal hazards, and read normal newsprint, being able to view a computer
screen, being able to distinguish between small objects that have distinctive
colors. He is not able to perform work that involves fine vision such as
sorting small nuts and bolts, threading a needle, examining jewels, using
calipers and measurements, or soldering wires onto chips. He is limited to
the ability to understand and remember simple instructions. He can
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maintain focus to perform simple tasks. He can adapt to occasional
changes to simple tasks. He should have no production paced work. He
should have no work with the general public. He can have occasional
work with coworkers and supervisors but should have no team or tandem
work.
(R. 865-66). The Court finds no merit to Plaintiff’s argument that the ALJ failed to
reconcile this RFC with the weight given to the medical opinions. (Doc. No. 8 at 14-20).
Specifically, Plaintiff argues the ALJ’s decision to give the very limiting opinions of
Drs. Rebecca Billings, Ph.D., and Erin Urbanowicz, Psy.D., great weight is at odds with the
less limited RFC. (Id. at 15-17). The Court first notes that the ALJ is not bound to formulate
an RFC based directly on any physician’s opinion, even if she gives that opinion great weight.
See Wilkinson v. Commissioner Social Sec., 558 Fed. Appx. 254, 256 (3d Cir. 2014) (citations
omitted) (explaining that “no rule or regulation compels an ALJ to incorporate into an
RFC every finding made by a medical source simply because the ALJ gives the
source's opinion as a whole ‘significant’ weight”). Rather, an ALJ must adequately explain
the basis for the RFC findings, including discussing the relevant medical opinion evidence.
In this case, the ALJ did not err by giving the opinions of Drs. Billings and
Urbanowicz great weight and yet formulating a less limited RFC. The ALJ explained that
Drs. Billings’ and Urbanowicz’ opinions were consistent with other parts of the record and
were therefore given great weight. (R. 869). Dr. Billings opined, in part, that Mr. Davids
could interact appropriately with the public, supervisors and co-workers with moderate
limitation, and Dr. Urbanowicz opined, in part, that Mr. Davids would be moderately
limited in the ability to interact appropriately with the general public, accept instructions,
and respond appropriately to criticism from supervisors; and get along with co-workers or
peers without distracting them or exhibiting behavioral extremes. (R. 152-53, 462).
Taking this into consideration, the ALJ found that Mr. Davids could have no work with the
general public and only occasional work with coworkers and supervisors. (R. 866).
Although this RFC does not align perfectly with these doctors’ opined limitations, it is
supported by substantial evidence as the ALJ crafted this based on the entire record.
Indeed, the ALJ noted that Mr. Davids should have no work with the general public after
analyzing his mental health treatment records, which showed some reports of
hallucinations and hearing voices. (R. 868). Accordingly, the ALJ’s RFC is supported
by substantial evidence.
Further, the Court rejects Plaintiff’s argument that the ALJ failed to give adequate
explanations for discrediting the opinions of Dr. Michael Rosenberg, M.D., and Courtney
Kuch, LMSW. (Doc. No. 8 at 17-18). The ALJ explained that she gave Dr. Rosenberg’s
opinion limited weight because Mr. Davids’ treatment records supported fewer limitations
than those opined by Dr. Rosenberg. (R. 869). These treatment records revealed that
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Mr. Davids received generally conservative treatment for his back pain and showed that he
had no significant difficulties with ambulation or maneuvering around an examination
room. (Id.). This differed from Dr. Rosenberg’s opined limitations that Mr. Davids
could only stand and walk for 30 minutes without interruption, stand and walk for 2 hours
in an 8 hour workday, and never kneel, crouch, or crawl. (Ex. E6F/6, 8). Further, the
ALJ explained that she gave Ms. Kuch’s opinion little weight because her opinion that Mr.
Davids had no useful ability to function in multiple areas was inconsistent with Mr. Davids’
treatment records, which documented improvement in functionality and generally normal
mental status examinations. (R. 869). Accordingly, the record supports the ALJ’s
decision to assign limited weight to these opinions.
The Court also rejects Plaintiff’s argument that the ALJ failed to apply the treating
physician rule to the opinion of Dr. Jeremy Riedesel, M.D. (Doc. No. 8 at 14, 18, 19-20).
The regulations provide that for claims, such as this one, filed before March 27, 2017, a
treating physician’s opinion is to be given “controlling weight” so long as the opinion is
well-supported by medically acceptable clinical and laboratory diagnostic techniques and
not inconsistent with other substantial evidence in the record. 20 C.F.R. §
404.1527(c)(2); Fargnoli v. Massanari, 247 F.3d 34, 43 (3d Cir. 2001); Plummer v. Apfel,
186 F.3d 422, 429 (3d Cir. 1999). As a result, the ALJ may reject a treating physician’s
opinion outright only on the basis of contradictory medical evidence, and not on the basis
of the ALJ’s own judgment or speculation, although he or she may afford a treating
physician’s opinion more or less weight depending upon the extent to which supporting
explanations are provided. See Plummer, 186 F.3d at 429.
Here, the ALJ properly applied the treating physician rule to the opinion of Dr.
Riedesel. The ALJ first acknowledged that Dr. Riedesel was Mr. Davids’ treating
physician. (R. 869 (stating Dr. Riedesel was the “treating provider”)). Additionally, the
ALJ stated that she considered the opinion evidence in accordance with 20 C.F.R.
404.1527, which is the regulation detailing the treating physician rule. (R. 866). The
ALJ then explained that she afforded this opinion “limited weight” because Dr. Riedesel’s
opinion was inconsistent with Mr. Davids’ medical record as a whole. (R. 869).
Specifically, Dr. Riedesel’s opinion was inconsistent with Mr. Davids’ medical record
showing “few complaints of musculoskeletal pain in any of his mental health or
neurological treatment records, and [Mr. Davids’] generally conservative treatment for his
physical impairments.” (R. 869-70). This makes logical sense as Dr. Riedesel opined
that Mr. Davids had many postural limitations, including that he could only sit and stand
for 10 minutes at a time, could only stand/walk less than 2 hours in an 8 hour workday, and
could only sit about 2 hours in an 8 hour workday. (R. 1876-77). Accordingly, the
ALJ’s analysis of Dr. Riedesel’s opinion is supported by substantial evidence.
For the foregoing reasons, the Court affirms the decision of the ALJ.
4
Therefore, IT IS HEREBY ORDERED that Plaintiff’s Motion for Summary
Judgment (Doc. No. 7) is DENIED and that Defendant’s Motion for Summary Judgment
(Doc. No. 10) is GRANTED.
s/Alan N. Bloch
United States District Judge
ecf: Counsel of record
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