Rita Tedesco v. Commissioner Social Security

U.S. Court of Appeals for the Third Circuit

Rita Tedesco v. Commissioner Social Security

Opinion

NOT PRECEDENTIAL

UNITED STATES COURT OF APPEALS FOR THE THIRD CIRCUIT

_____________

No. 19-3473 _____________

RITA M. TEDESCO, Appellant

v.

COMMISSIONER SOCIAL SECURITY ______________

On Appeal from the United States District Court for the District of New Jersey (D.C. No. 3-18-cv-10998) District Judge: Hon. Michael A. Shipp ______________

Submitted Pursuant to Third Circuit L.A.R. 34.1(a) May 29, 2020 ______________

Before: AMBRO, HARDIMAN, and RESTREPO, Circuit Judges.

(Filed: November 18, 2020) _____________

OPINION * ______________

* This disposition is not an opinion of the full Court and pursuant to I.O.P. 5.7 does not constitute binding precedent. RESTREPO, Circuit Judge

Rita Tedesco appeals the District Court’s Order that affirmed the final decision of

the Commissioner of Social Security (“Commissioner”) denying Tedesco’s applications

for supplemental security income (“SSI”) and disability insurance benefits (“DIB”) under

the Social Security Act (“Act”). She argues that the Social Security Administration

(“SSA”) erroneously found that Tedesco was capable of performing jobs existing in

significant numbers in the national economy and improperly evaluated medical opinions

in the record. We affirm.

I.

Tedesco worked primarily in banking as a teller and assistant manager for almost

three decades before briefly working as a dental assistant beginning in 2015. After

leaving the dental assistant position, she filed claims for DIB and SSI in July of 2016.

She claimed disability stemming from impairments including spine and joint

disorders, hypertension, and diabetes. Tedesco solicited medical opinions from her

treating physicians. A state agency physician also conducted a residual functional

capacity (“RFC”) assessment to determine what Tedesco could do despite the limitations

caused by her impairments and found that she could perform a range of sedentary work.

After her claims were denied initially and upon reconsideration, Tedesco requested a

hearing before an Administrative Law Judge (“ALJ”). After the hearing, in denying

Tedesco’s applications, the ALJ found that although she could not perform her past

relevant work as a bank teller, Tedesco could still perform a range of full-time sedentary

2 work. At the hearing, a vocational expert (“VE”) testified that, considering an individual

of Tedesco’s age, with her education, past relevant work experience, and RFC (as

ultimately assessed by the ALJ), three semi-skilled, sedentary jobs existed in significant

numbers which that individual could perform. In particular, the VE’s testimony indicated

that the skills acquired from Tedesco’s prior work as a teller were transferrable to the

semi-skilled jobs identified by the VE with little to no vocational adjustment.

The Appeals Council denied Tedesco’s request for review of the ALJ’s decision,

making the ALJ’s decision the final decision of the Commissioner. Tedesco appealed to

the District Court claiming that the ALJ erred in finding that other jobs existed which

Tedesco could perform and in weighing the medical experts’ opinions. The Court

disagreed and affirmed the SSA’s decision. Tedesco now appeals the decision of the

District Court. 1

II.

We review an ALJ’s decision under the same standard of review as the District

Court to determine whether there was substantial evidence in the record to support the

ALJ’s decision. See Plummer v. Apfel,

186 F.3d 422, 427

(3d Cir. 1999). “Substantial

evidence is less than a preponderance but more than a mere scintilla; it is ‘such relevant

evidence as a reasonable mind might accept as adequate.’” Boone v. Barnhart,

353 F.3d 203, 205

(3d Cir. 2003) (citing Burns v. Barnhart,

312 F.3d 113,118

(3d Cir. 2002)).

1 The District Court had jurisdiction under

42 U.S.C. § 405

(g). We have appellate jurisdiction under

28 U.S.C. § 1291

.

3 “[W]e are not permitted to weigh the evidence or substitute our own conclusions for that

of the fact-finder.” Burns,

312 F.3d at 118

.

III.

At the fifth step of the 5-step sequential evaluation, the SSA considers whether a

claimant, despite her limitations, can perform jobs existing in significant numbers in the

national economy. 2

20 C.F.R. §§ 404.1520

(a)(4)(v), 404.1560(c)(2), 416.920(a)(4)(v),

416.960(c)(2). Tedesco argues on appeal that the ALJ’s finding at this fifth step is not

supported by substantial evidence. In particular, she argues that for claimants who are

age 55 or older with an RFC for sedentary or light exertion work, “a mere showing of

transferability of skills is insufficient to deny benefits at step 5.” Appellant’s Br. 13

(emph. omitted).

Under the fifth step of the Commissioner’s sequential evaluation, an individual of

“advanced age” under the regulations (age 55 or older), who has a severe impairment that

limits her to no more than sedentary work, is considered to have skills that are

transferrable to skilled or semi-skilled sedentary work if the skills acquired from her

previous work are such that there is “very little, if any, vocational adjustment [needed] in

terms of tools, work processes, work settings, or the industry.”

20 C.F.R. §§ 404.1568

(d)(4), 416.968(d)(4). In making this determination, the ALJ may, of course,

rely on testimony from a VE.

20 C.F.R. §§ 404.1566

(e), 416.966(e).

2 The SSA has established a 5-step sequential evaluation process for determining whether an individual is disabled. See Smith v. Comm’r of Soc. Sec.,

631 F.3d 632, 634

(3d Cir. 2010).

4 Here, the ALJ pointed to the VE’s testimony in support of the determination that

Tedesco was not disabled under the Act. The ALJ made an RFC assessment, concluding

that Tedesco’s impairments limited her to a range of sedentary work. At the hearing, the

VE testified that an individual with prior work experience as a teller, such as Tedesco,

acquired from her work experience customer service skills and the ability to engage with

customers, as well as the skills to make basic financial transactions and keep records.

The VE further testified that such an individual would require little to no vocational

adjustment to be able to perform the sedentary, semi-skilled jobs of referral/information

clerk, information clerk/greeter, and clerical sorter. Thus, as the ALJ pointed out, the

VE’s testimony indicated that Tedesco’s previous work was similar enough to the

aforementioned jobs that she would need to make very little, if any, vocational

adjustment in terms of tools, work processes, work settings, or the industry. Based on the

VE’s testimony, there was substantial evidence in the record to support the ALJ’s fifth-

step finding that Tedesco was not disabled under the Act.

Tedesco also claims the ALJ improperly evaluated the medical opinions in the

record. She argues the ALJ’s conclusion that Tedesco is capable of engaging in a range

of full-time sedentary work is contradicted by the opinions of her physicians. However,

the ALJ properly considered those opinions and explained why they were given partial

weight in support of the non-disability and RFC determinations.

“The ALJ—not treating or examining physicians or State agency consultants—

must make the ultimate disability and RFC determinations.” Chandler v. Comm’r of Soc.

Sec.,

667 F.3d 356, 361

(3d Cir. 2011). Thus, an ALJ “will not give any special

5 significance to the source of an opinion on issues reserved to the Commissioner,” such as

RFC.

20 C.F.R. §§ 404.1527

(d)(3), 416.927(d)(3). As to issues such as severity of

symptoms, a “treating source’s opinion is entitled to controlling weight only when it is

‘well-supported by medically acceptable clinical and laboratory diagnostic techniques

and is not inconsistent with the other substantial evidence in [the claimant’s] case

record.’” Johnson v. Comm’r of Soc. Sec.,

529 F.3d 198, 202

(3d Cir. 2008) (quoting

Fargnoli v. Massanari,

247 F.3d 34, 43

(3d Cir. 2001)).

An ALJ “must give some indication of the evidence which he rejects and his

reason(s) for discounting such evidence.” Burnett v. Comm’r of Soc. Sec. Admin.,

220 F.3d 112, 121

(3d Cir. 2000). A treating physician’s “opinion may be afforded ‘more or

less weight depending upon the extent to which supporting explanations are provided.’”

Brownawell v. Comm’r of Soc. Sec.,

554 F.3d 352, 355

(3d Cir. 2008) (quoting Plummer,

186 F.3d at 429

).

Here, the ALJ considered the opinions of Tedesco’s physicians and afforded them

partial weight based on evidence in the record. Giving partial weight to the opinion of

Bruce Langer, M.D., the ALJ pointed to the lack of support by the medical evidence in

the record for the restrictive limitation assessed by Dr. Langer regarding Tedesco’s

ability to lift objects, the relatively short time-period Dr. Langer had been treating

Tedesco as his gastroenterologist at the time of the assessment, and the lack of support

cited by the doctor in making such a restrictive functional assessment. See

20 C.F.R. §§ 404.1527

(c)(3), 416.927(c)(3) (“The more a medical source presents relevant evidence to

support an opinion, particularly medical signs and laboratory findings, . . . [and] [t]he

6 better an explanation a source provides for a medical opinion, the more weight we will

give that medical opinion.”). Similarly, the ALJ afforded partial weight to the opinion of

Keiron Greaves, M.D. as overly broad and restrictive without any support in the medical

record. The record supports the ALJ’s conclusion as, among other things, the doctor’s

opinions conflict with his own treatment notes reflecting Tedesco’s improving condition.

See Plummer,

186 F.3d at 430

(ALJ may discount a treating physician’s opinion on the

basis of contradictory medical evidence). Likewise, citing to the record, the ALJ gave

the opinion of Dan Thuy Tran, M.D. only partial weight, pointing out that the doctor’s

recommended conservative course of treatment of ibuprofen did “not support absences

[from work] of twice per month.” App. 25.

Since the opinions of Tedesco’s physicians were properly afforded partial weight,

none of them compelled a finding that Tedesco was disabled or could not engage in full-

time sedentary work. The ALJ did not ignore the evidence from Tedesco’s physicians –

the appellant simply disagrees with the relative weights given. To the contrary, the ALJ

adequately evaluated the opinions from Tedesco’s treating physicians and put forth sound

reasons supported by substantial evidence.

For these reasons, we affirm the District Court’s decision.

7

Reference

Status
Unpublished