[DO NOT PUBLISH]
IN THE UNITED STATES COURT OF APPEALS
FOR THE ELEVENTH CIRCUIT
________________________ FILED
U.S. COURT OF APPEALS
No. 09-15053 ELEVENTH CIRCUIT
APRIL 1, 2010
Non-Argument Calendar
JOHN LEY
________________________
CLERK
D. C. Docket No. 08-02499-CV-AJB-1
BILLY DAVISON,
Plaintiff-Appellant,
versus
MICHAEL J. ASTRUE,
Commissioner of Social Security,
Defendant-Appellee.
________________________
Appeal from the United States District Court
for the Northern District of Georgia
_________________________
(April 1, 2010)
Before BIRCH, WILSON and ANDERSON, Circuit Judges.
PER CURIAM:
Billy Davison appeals the magistrate’s final order affirming the
administrative law judge’s (ALJ’s) denial of his application for supplemental
security income (SSI). On appeal, Davison argues that the ALJ erred by (1)
finding that he had a residual functional capacity (RFC) for a full range of medium
work; and (2) failing to re-contact his examining physician before relying on her
allegedly inadequate and incomplete report. After reviewing the briefs and the
relevant law and cases, we affirm the judgment of the lower court.
Davison was at the time of the ALJ’s decision a 58-year-old man with
degenerative disc disease who claimed he was disabled due to pain and other
symptoms in his back and legs. Davison testified he had been working for pay by
running errands and driving others to doctor’s appointments and grocery stores, but
had not otherwise been recently employed. Davison applied for SSI in 2004. The
ALJ denied his application in 2007, and the Appeals Council denied Davison’s
request for review in April 2008. He filed suit in federal district court in June 2008
and the magistrate judge denied his appeal in an order dated Aug. 5, 2009. This
timely appeal followed.
I.
We review the decision of the ALJ as the Social Security Commissioner’s
final decision when the ALJ denies benefits and the Appeals Council denies review
2
of the ALJ’s decision. Doughty v. Apfel, 245 F.3d 1274, 1278 (11th Cir. 2001).
We deem the Commissioner’s factual findings conclusive if supported by
substantial evidence. Lewis v. Barnhart, 285 F.3d 1329, 1330 (11th Cir. 2002).
Substantial evidence is “more than a mere scintilla, but less than a preponderance.”
Dyer v. Barnhart, 395 F.3d 1206, 1210 (11th Cir. 2005) (quotation omitted). We
are precluded from deciding the facts anew or re-weighing the evidence. Id.
“Even if the evidence preponderates against the Commissioner’s findings, we must
affirm if the decision reached is supported by substantial evidence.” Crawford v.
Comm’r of Soc. Sec., 363 F.3d 1155, 1158–59 (11th Cir. 2004) (quotation
omitted).
II.
The RFC is “an assessment, based upon all of the relevant evidence, of a
claimant’s remaining ability to do work despite his impairments.” Lewis v.
Callahan, 125 F.3d 1436, 1440 (11th Cir. 1997); 20 C.F.R. § 404.1545(a). An
ALJ makes an RFC determination by considering the claimant’s ability to sit,
stand, walk, lift, carry, push, pull, stoop, crouch, and reach. 20 C.F.R. §
404.1545(b). “Along with [a claimant’s] age, education and work experience, the
claimant’s residual functional capacity is considered in determining whether the
claimant can work.” Lewis, 125 F.3d at 1440; 20 C.F.R. § 404.1520(f). To
3
determine the physical exertion requirements of jobs in the national economy, the
Commissioner classifies jobs as sedentary, light, medium, heavy, and very heavy.
20 C.F.R. § 404.1567. Medium work is defined as “lifting no more than 50 pounds
at a time with frequent lifting or carrying of objects weighing up to 25 pounds.”
Id. § 404.1567(c). Heavy work is defined as “lifting no more than 100 pounds at a
time with frequent lifting or carrying of objects weighing up to 50 pounds.” Id. §
404.1567(d).
In evaluating medical opinions, the ALJ considers many factors including
the examining relationship, the treatment relationship, whether an opinion is amply
supported, whether an opinion is consistent with the record, and a doctor’s
specialization. Id. § 404.1527(d). Generally, the opinions of examining or treating
physicians are given more weight than non-examining or non-treating physicians
unless “good cause” is shown. Id. § 404.1527(d)(1), -(2), -(5); Lewis, 125 F.3d at
1440. “Good cause” exists to discredit a physician’s testimony when it is contrary
to or unsupported by the evidence of record, or it is inconsistent with the
physician’s own medical records. Phillips v. Barnhart, 357 F.3d 1232, 1240–41
(11th Cir. 2004). Accordingly, the ALJ may reject the opinion of any physician
when the evidence supports a contrary conclusion. Sryock v. Heckler, 764 F.2d
834, 835 (11th Cir. 1985). When an ALJ articulates specific reasons for failing to
4
accord controlling weight to the opinion of a treating or examining physician and
those reasons are supported by substantial evidence, there is no reversible error.
Moore v. Barnhart, 405 F.3d 1208, 1212 (11th Cir. 2005).
Generally, the more consistent a physician’s opinion is with the record as a
whole, the more weight an ALJ will place on that opinion. 20 C.F.R.
§ 404.1527(d)(4). Thus, the opinion of a non-examining physician is entitled to
little weight when it contradicts the opinion of an examining physician. Lamb v.
Bowen, 847 F.2d 698, 703 (11th Cir. 1988). Where, however, a non-examining
physician’s assessment does not contradict the examining physician’s report, the
ALJ does not err in relying on the non-examining physician’s report. See Edwards
v. Sullivan, 937 F.2d 580, 584–85 (11th Cir. 1991).
Here, substantial evidence supports the ALJ’s finding that Davison could
engage in the full range of medium work. First, the ALJ did not err by rejecting
the examining physician’s opinion that Davison had a bending limitation because
the physician’s physical examination of Davison did not support that conclusion,
and the ALJ stated as much in a written finding. The examining physician’s report
indicated that Davison had a full range of motion in his neck, back, straight leg
raising, shoulder, elbow and forearm, wrist, hip, knees, ankle and foot, and hands
and fingers. Additionally, on the day of the examination, Davison had no
5
problems standing, walking, bending, squatting, or sitting. During the
examination, Davison was able to bend and squat at 100% and raise both arms over
his head and touch his toes without any problems. Second, even though the ALJ
presumed that the examining physician had prohibited Davison from engaging in
the legal definition of “heavy lifting,” that presumption did not invalidate the
ALJ’s finding that Davison could engage in medium lifting. Finally, the ALJ did
not err by relying on the non-examining physician’s report to determine that
Davison could engage in a full range of medium work because the non-examining
physician’s physical assessment was generally consistent with the examining
physician’s physical assessment of Davison. Thus, substantial evidence supports
the ALJ’s finding that Davison could engage in a full range of medium work.
III.
Pursuant to 20 C.F.R. § 416.919p, the Commissioner will review the report
of a consultative examination to determine whether specific information has been
furnished. 20 C.F.R. § 416.919p(a). If the report is “inadequate or incomplete,”
the Commissioner will contact the medical source who performed the consultative
examination, give an explanation of the agency’s evidentiary needs, and ask the
medical source to furnish the missing information or prepare a revised report. Id.
§ 416.919p(b). A complete consultative examination report includes the
6
following: (1) the claimant’s major or chief complaints; (2) a detailed description
of the claimant’s history of the major complaints; (3) a description of pertinent
positive and negative detailed findings based on the history, examination, and lab
tests related to the major complaints and any other abnormalities or lack thereof
found during the exam or lab tests; (4) the results of the lab tests; (5) the diagnosis
and prognosis for the claimant’s impairment; (6) a statement about what the
claimant can still do despite the impairments; and (7) an explanation or comment
by the medical source on the claimant’s major complaints. Id.
§ 416.919n(c)(1)–(7). If a consultative examination report does not include a
statement about what the claimant can still do despite the impairments, “the
absence of such a statement . . . will not make the report incomplete.” Id. §
416.919n(c)(6).
Although Davison alleges that the examining physician’s report was
incomplete because she failed to explain her prohibition against “heavy lifting,” the
absence of such a statement does not render the report incomplete. The
Commissioner noted that the report satisfied all the requirements of the law, and
the absence of a statement about what the claimant can still do did not render it
incomplete. Therefore, the ALJ was not required to re-contact the examining
physician to furnish the missing information. Accordingly, we affirm.
7
AFFIRMED.
8