Christopher G. v. Frank Bisignano, Commissioner of Social Security

CourtDistrict Court, N.D. Iowa
DecidedJanuary 9, 2026
Docket2:25-cv-01001
StatusUnknown

This text of Christopher G. v. Frank Bisignano, Commissioner of Social Security (Christopher G. v. Frank Bisignano, Commissioner of Social Security) is published on Counsel Stack Legal Research, covering District Court, N.D. Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Christopher G. v. Frank Bisignano, Commissioner of Social Security, (N.D. Iowa 2026).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF IOWA EASTERN DIVISION

CHRISTOPHER G.,1 Plaintiff, No. 25-CV-1001-CJW-KEM vs. REPORT AND RECOMMENDATION FRANK BISIGNANO, Commissioner of Social Security, Defendant. ____________________

Plaintiff Christopher G. seeks judicial review of a final decision of the Commissioner of Social Security denying his application for disability insurance (DI) benefits under Title II of the Social Security Act, 42 U.S.C. §§ 401-434. Plaintiff argues that by limiting his residual functional capacity (RFC) to “simple routine tasks,” the administrative law judge (ALJ) did not account for the persuasive medical opinions’ limitation to three- to four-step tasks. Plaintiff also argues the ALJ erred in finding work as a marker exists in the national economy when the Dictionary of Occupational Titles (DOT) description suggests such a job is obsolete. I recommend reversing the ALJ’s decision and remanding for further proceedings.

I. BACKGROUND Plaintiff filed for Social Security DI benefits in April 2022, alleging a disability onset date of June 30, 2021. AR 60.2 He alleged disability due to migraines, spinal cord

1 The Committee on Court Administration and Case Management of the Judicial Conference of the United States has recommended that, due to significant privacy concerns in social security cases, federal courts should refer to claimants only by their first names and last initials. 2 AR refers to the administrative record filed in this case (Doc. 8). surgeries in November 2021, Reynaud’s disease, cognitive issues, and anxiety. Id. The Social Security Administration denied his application on initial review in January 2023 and reconsideration in March 2023. AR 70-87. As part of those reviews, state agency psychological consultants Erin Pederson, PhD, and Tiffany Iskander, PhD, reviewed Plaintiff’s treatment records and issued opinions on his mental limitations, concluding that he “would be able to complete 3- to 4-step tasks on a sustained basis.” AR 65-67, 76-77. Plaintiff requested further review. The ALJ held a hearing in October 2023, at which Plaintiff and a vocational expert testified. AR 36-37. The ALJ issued a written opinion on January 18, 2024, following the five-step process outlined in the regulations3 to determine whether Plaintiff was disabled during the relevant time period. AR 14-30. The ALJ found Plaintiff suffered from the severe impairments of migraines, major depressive disorder, and anxiety disorder. AR 17. To aid in steps four and five, the ALJ determined Plaintiff’s residual functional capacity (RFC),4 finding Plaintiff could perform medium work with “moderate noise” and “simple routine tasks.” AR 19. The ALJ found Dr. Pederson’s and Dr. Iskander’s opinions persuasive, “well supported with explanation,” and “consistent with the longitudinal record. AR 26-27. The ALJ found Plaintiff could not return to his past work. AR 28. But the ALJ found other jobs existed in significant numbers in the national economy that Plaintiff could perform, including “representative occupations such as” marker, office helper, and patient transporter. AR

3 “During the five-step process, the ALJ considers (1) whether the claimant is gainfully employed, (2) whether the claimant has a severe impairment, (3) whether the impairment meets the criteria of any Social Security . . . listings, (4) whether the impairment prevents the claimant from performing past relevant work, and (5) whether the impairment necessarily prevents the claimant from doing any other work.” Grindley v. Kijakazi, 9 F.4th 622, 628 (8th Cir. 2021) (quoting Goff v. Barnhart, 421 F.3d 785, 790 (8th Cir. 2005)); see also § 404.1520(a)(4). The claimant bears the burden of persuasion to prove disability. Goff, 421 F.3d at 790. 4 RFC means “the most that a claimant can do despite her limitations.” Sloan v. Saul, 933 F.3d 946, 949 (8th Cir. 2019). 29. The ALJ relied on VE testimony that 136,785 marker positions, 6,841 office helper positions, and 7,211 transporter positions exist nationally. AR 29, 56. The ALJ found Plaintiff not disabled from June 30, 2021, through January 18, 2024, the date of the decision. AR 29-30. The Appeals Council denied Plaintiff’s request for review on November 14, 2024 (AR 1-3), making the ALJ’s decision that Plaintiff was not disabled the final decision of the Commissioner.5 Plaintiff filed a timely complaint in this court (Doc. 1).6 The parties briefed the issues (Docs. 10, 12, 13) and the Honorable C.J. Williams, Chief District Judge for the Northern District of Iowa, referred this case to me for a report and recommendation.

II. DISCUSSION So long as substantial evidence in the record as a whole supports the ALJ’s decision, a reviewing court must affirm.7 “Substantial evidence is less than a preponderance, but enough that a reasonable mind might accept it as adequate to support a decision.”8 The court “do[es] not reweigh the evidence or review the factual record de novo.”9 If, after reviewing the evidence, “it is possible to draw two inconsistent positions from the evidence and one of those positions represents the [ALJ’s] findings, [the court] must affirm the decision.”10 Plaintiff argues that the ALJ erred in failing to limit his RFC to work involving only three- to four-step tasks, as supported by Drs. Pederson’s and Iskander’s persuasive

5 See 20 C.F.R. § 404.981. 6 See 20 C.F.R. § 422.210(c). 7 Grindley, 9 F.4th at 627; accord 42 U.S.C. § 405(g). 8 Kirby v. Astrue, 500 F.3d 705, 707 (8th Cir. 2007). 9 Naber v. Shalala, 22 F.3d 186, 188 (8th Cir. 1994). 10 Robinson v. Sullivan, 956 F.2d 836, 838 (8th Cir. 1992). opinions. Plaintiff also argues the DOT description of the marker job shows it is obsolete.

A. Limitation to Three- to Four-Step Tasks Plaintiff argues that the ALJ erred by finding the state agency psychological consultants’ opinions persuasive but failing to include in the RFC their limitation to work involving only three- to four-step tasks (and failing to explain this discrepancy). Under the regulations, the ALJ must “articulate . . . how persuasive [the ALJ] find[s] all of the medical opinions and . . . prior administrative medical findings.”11 The ALJ must consider certain factors and “explain how [the ALJ] considered the supportability” factor (“the objective medical evidence and supporting explanations” underlying the opinion) and the consistency factor (the consistency of the opinion “with evidence from other medical sources and nonmedical sources”).12 I have previously recognized that “[t]he purpose of this regulation would be undermined if the ALJ could state a medical opinion was persuasive, well-supported, and consistent with the record, without adopting the limitations contained in that opinion or otherwise addressing them.”13 As part of the state agency reviews, Drs.

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Christopher G. v. Frank Bisignano, Commissioner of Social Security, Counsel Stack Legal Research, https://law.counselstack.com/opinion/christopher-g-v-frank-bisignano-commissioner-of-social-security-iand-2026.