Gibbons v. Commissioner of Social Security

CourtDistrict Court, W.D. New York
DecidedSeptember 5, 2019
Docket1:18-cv-00311
StatusUnknown

This text of Gibbons v. Commissioner of Social Security (Gibbons v. Commissioner of Social Security) is published on Counsel Stack Legal Research, covering District Court, W.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gibbons v. Commissioner of Social Security, (W.D.N.Y. 2019).

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF NEW YORK

TERRY LEE GIBBONS,

Plaintiff, Case # 18-CV-311-FPG

v. DECISION AND ORDER

COMMISSIONER OF SOCIAL SECURITY,

Defendant.

INTRODUCTION Plaintiff Terry Lee Gibbons brings this action pursuant to the Social Security Act seeking review of the final decision of the Commissioner of Social Security that denied his application for Disability Insurance Benefits (“DIB”) under Title II of the Act. ECF No. 1. The Court has jurisdiction over this action under 42 U.S.C. § 405(g). Both parties moved for judgment on the pleadings pursuant to Federal Rule of Civil Procedure 12(c). ECF Nos. 9, 14. For the reasons that follow, the Commissioner’s motion is DENIED, Gibbons’s motion is GRANTED, and this matter is REMANDED to the Commissioner for further administrative proceedings limited to Step Five of the sequential evaluation. BACKGROUND Gibbons has filed multiple applications for DIB over the years. He filed his fifth and present application in July 2010. Tr.1 1155. He alleged disability since December 14, 1995 due to several medical conditions, including vision loss, headaches, heart bypass surgery, and back, shoulder, neck, and knee injuries. Tr. 634. His date last insured is December 31, 2001. Tr. 1154. In April 2012, Administrative Law Judge William M. Weir issued a decision dismissing Gibbons’s

1 “Tr.” refers to the administrative record in this matter. ECF No. 5. application in part (on the basis of res judicata) and denying it in part (on the basis that Gibbons was not disabled). The Appeals Council vacated Judge Weir’s decision and remanded for further proceedings. Tr. 377-78. In December 2013, Judge Weir issued a new decision, again dismissing the application in

part and denying it in part. Tr. 20-32. Gibbons appealed the decision to district court. The Commissioner moved to remand the case, conceding that Judge Weir made several errors in his decision. As a result, the district court remanded the case for further proceedings. On remand, Administrative Law Judge Lynette Gohr (the “ALJ”) held a hearing on Gibbons’s claim. In May 2017, she issued a decision finding that Gibbons was not disabled from his alleged onset date to the date last insured. The Appeals Council denied Gibbons’s request for review. This action seeks review of the Commissioner’s final decision. ECF No. 1. LEGAL STANDARD I. District Court Review “In reviewing a final decision of the SSA, this 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) (quotation marks omitted); see also 42 U.S.C. § 405(g). The Act holds that a decision by the Commissioner is “conclusive” if it is supported by substantial evidence. 42 U.S.C. § 405(g). “Substantial evidence means more than a mere scintilla. It means such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.” Moran v. Astrue, 569 F.3d 108, 112 (2d Cir. 2009) (quotation marks omitted). It is not the Court’s function to “determine de novo whether [the claimant] is disabled.” Schaal v. Apfel, 134 F.3d 496, 501 (2d Cir. 1998) (quotation marks omitted); see also Wagner v. Sec’y of Health & Human Servs., 906 F.2d 856, 860 (2d Cir. 1990) (holding that review of the Secretary’s decision is not de novo and that the Secretary’s findings are conclusive if supported by substantial evidence). II. Disability Determination An ALJ must follow a five-step sequential evaluation to determine whether a claimant is

disabled within the meaning of the Act. See Parker v. City of New York, 476 U.S. 467, 470-71 (1986). At step one, the ALJ must determine whether the claimant is engaged in substantial gainful work activity. See 20 C.F.R. § 404.1520(b). If so, the claimant is not disabled. If not, the ALJ proceeds to step two and determines whether the claimant has an impairment, or combination of impairments, that is “severe” within the meaning of the Act, meaning that it imposes significant restrictions on the claimant’s ability to perform basic work activities. Id. § 404.1520(c). If the claimant does not have a severe impairment or combination of impairments, the analysis concludes with a finding of “not disabled.” If the claimant does, the ALJ continues to step three. At step three, the ALJ examines whether a claimant’s impairment meets or medically equals the criteria of a listed impairment in Appendix 1 of Subpart P of Regulation No. 4 (the

“Listings”). Id. § 404.1520(d). If the impairment meets or medically equals the criteria of a Listing and meets the durational requirement, the claimant is disabled. If not, the ALJ determines the claimant’s residual functional capacity (“RFC”), which is the ability to perform physical or mental work activities on a sustained basis, notwithstanding limitations for the collective impairments. See id. § 404.1520(e)-(f). The ALJ then proceeds to step four and determines whether the claimant’s RFC permits him or her to perform the requirements of his or her past relevant work. 20 C.F.R. § 404.1520(f). If the claimant can perform such requirements, then he or she is not disabled. Id. If he or she cannot, the analysis proceeds to the fifth and final step, wherein the burden shifts to the Commissioner to show that the claimant is not disabled. Id. § 404.1520(g). To do so, the Commissioner must present evidence to demonstrate that the claimant “retains a residual functional capacity to perform alternative substantial gainful work which exists in the national economy” in light of his or her age, education, and work experience. See Rosa v. Callahan, 168

F.3d 72, 77 (2d Cir. 1999) (quotation marks omitted); see also 20 C.F.R. § 404.1560(c). DISCUSSION I. The ALJ’s Decision The ALJ analyzed Gibbons’s claim for benefits under the process described above. At step one, the ALJ found that Gibbons had not engaged in substantial gainful activity since the alleged onset date. Tr. 1158. At step two, the ALJ found that Gibbons four severe impairments: degenerative disc disease, degenerative knee changes, “mild narrowing at the C5-6 disc space,” and photophobia in the left eye. Id. At step three, the ALJ found that these impairments, alone or in combination, did not meet or medically equal any Listings impairment. Tr. 1160. Next, the ALJ determined that Gibbons retains the RFC to perform sedentary work2 with

additional limitations. Tr. 1161. At step four, the ALJ found that Gibbons could not perform his past relevant work. Tr. 1171.

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