Opinions and documents
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF NEW MEXICO
ELAINE V.,1
Plaintiff,
v. 1:25-cv-00760-JMR
FRANK BISIGNANO, Commissioner
of the Social Security Administration,
Defendant.
MEMORANDUM OPINION AND ORDER
THIS MATTER comes before the Court on Plaintiff Elaine V.’s Motion to Reverse and
Remand (Doc. 14), which was fully briefed on March 31, 2026. See Docs. 21, 22. The parties
consented to my entering final judgment in this case pursuant to 28 U.S.C. § 636(c) and FED. R.
CIV. P. 73(b). See Docs. 5, 7, 8. Having meticulously reviewed the entire record and being fully
advised in the premises, I find that the ALJ erred by failing to properly assess the opinion of
consultative examiner Susan Giron, FNP. I therefore GRANT Plaintiff’s motion and remand this
case to the Commissioner for further proceedings consistent with this opinion.
I. Standard of Review
The standard of review in a Social Security appeal is whether the Commissioner’s final
decision2 is supported by substantial evidence and whether the correct legal standards were
applied. Maes v. Astrue, 522 F.3d 1093, 1096 (10th Cir. 2008). If substantial evidence supports
1 Due to sensitive personal and medical information contained in this opinion, the Court uses
only Plaintiff’s first name and last initial. In so doing, the Court balances Plaintiff’s privacy
interest in her personal medical information, United States v. Dillard, 795 F.3d 1191, 1205–06
(10th Cir. 2015), and the public’s interest in accessing the opinion, FED. R. CIV. P. 5.2(c)(2)(B).
2 The Court’s review is limited to the Commissioner’s final decision, 42 U.S.C. § 405(g), which
generally is the ALJ’s decision, 20 C.F.R. § 404.981, as it is in this case.
the Commissioner’s findings and the correct legal standards were applied, the Commissioner’s
decision stands, and the plaintiff is not entitled to relief. Langley v. Barnhart, 373 F.3d 1116,
1118 (10th Cir. 2004). “The failure to apply the correct legal standard or to provide this court
with a sufficient basis to determine that appropriate legal principles have been followed is
grounds for reversal.” Jensen v. Barnhart, 436 F.3d 1163, 1165 (10th Cir. 2005) (citation
modified). The Court must meticulously review the entire record, but it may neither reweigh the
evidence nor substitute its judgment for that of the Commissioner. Flaherty v. Astrue, 515 F.3d
1067, 1070 (10th Cir. 2007).
“Substantial evidence is such relevant evidence as a reasonable mind might accept as
adequate to support a conclusion.” Langley, 373 F.3d at 1118 (quotation omitted). A decision “is
not based on substantial evidence if it is overwhelmed by other evidence in the record or if there
is a mere scintilla of evidence supporting it.” Id. (quotation omitted). While the Court may not
reweigh the evidence or try the issues de novo, its examination of the record as a whole must
include “anything that may undercut or detract from the ALJ’s findings in order to determine if
the substantiality test has been met.” Grogan v. Barnhart, 399 F.3d 1257, 1262 (10th Cir. 2005)
(citation omitted). “The possibility of drawing two inconsistent conclusions from the evidence
does not prevent [the] findings from being supported by substantial evidence.” Lax v. Astrue, 489
F.3d 1080, 1084 (10th Cir. 2007) (quoting Zoltanski v. F.A.A., 372 F.3d 1195, 1200 (10th Cir.
2004)).
II. Applicable Law and Sequential Evaluation Process
To qualify for disability benefits, a claimant must establish that he or she is unable “to
engage in any substantial gainful activity by reason of any medically determinable physical or
mental impairment which can be expected to result in death or which has lasted or can be
expected to last for a continuous period of not less than 12 months.” 42 U.S.C. § 423(d)(1)(A);
20 C.F.R. § 404.1505(a).
When considering a disability application, the Commissioner is required to use a five-
step sequential evaluation process. 20 C.F.R. § 404.1520; Bowen v. Yuckert, 482 U.S. 137, 140
(1987). At the first four steps of the evaluation process, the claimant must show: (1) the claimant
is not engaged in “substantial gainful activity”; (2) the claimant has a “severe medically
determinable . . . impairment . . . or a combination of impairments” that has lasted or is expected
to last for at least one year; and (3) the impairment(s) either meet or equal one of the Listings3 of
presumptively disabling impairments; or (4) the claimant is unable to perform his or her “past
relevant work.” 20 C.F.R. §§ 404.1520(a)(4)(i–iv); Grogan, 399 F.3d at 1260–61. If the claimant
cannot show that his or her impairment meets or equals a Listing but proves that he or she is
unable to perform his or her “past relevant work,” the burden of proof shifts to the
Commissioner, at step five, to show that the claimant is able to perform other work in the
national economy, considering the claimant’s residual functional capacity (“RFC”), age,
education, and work experience. Id.
III. Background and Procedural History
Plaintiff was born in 1965, completed two years of college, and previously worked as a
property manager, medical records clerk, and hotel receptionist. AR 35, 51, 281–82, 293–94.4
Plaintiff filed an application for Disability Insurance Benefits (“DIB”) on September 21, 2020.
AR 233–36. Plaintiff alleged disability since January 1, 2018, due to:
1. Depression, PTSD, anxiety, nervousnexx
3 20 C.F.R. pt. 404, subpt. P, app. 1.
4 Document 9 is the sealed Administrative Record (“AR”). When citing to the record, the Court
cites to the AR’s internal pagination in the lower right-hand corner of each page, rather than to
the CM/ECF document number and page.
2. Diabetes, insomnia, Stigmatism rt eye
3. Severe lower left pain, hip pain, degenerative disease
4. Abusive relationship; 14 yrs.no focus no concentration
5. Mental abuse w father. Shortness of breath, mood swings
6. Osteo arthritis, non alcoholic fatty liver, Blood disease,
7. Stomach linning thinning due to medications, bone disease
8. Urinary track infections; every two months due medications
9. Tremors in body, teeth/mouthCatter Cnt carry, lift objects
10. Bits tongue, clinch teeth, racing heart, pulpetations.
AR 280 (errors in original, spacing added).
The Social Security Administration (“SSA”) denied Plaintiff’s claim initially on
September 9, 2021. AR 112–15. The SSA then denied her claim on reconsideration on August
29, 2023. AR 126–30. Plaintiff requested a hearing before an ALJ. AR 134–35. On September
30, 2024, ALJ Talia Timmins held a hearing. AR 44–67. Prior to the hearing, Plaintiff amended
her alleged disability onset date to December 11, 2020. AR 395. ALJ Timmins issued her
unfavorable decision on October 21, 2024. AR 18–43.
The ALJ found that Plaintiff met the insured status requirements of the Social Security
Act through December 31, 2024. AR 23. At step one, the ALJ found that Plaintiff had not
engaged in substantial gainful activity since December 11, 2020, her amended alleged onset date.
AR 24. At step two, the ALJ found that Plaintiff had the following severe impairment: “a mental
impairment variously assessed as anxiety disorder, post-traumatic stress disorder (PTSD), and
major depression that is recurrent.” Id. The ALJ found Plaintiff’s lateral epicondylitis of her right
humerus, hepatic fibrosis/non-alcoholic liver cirrhosis, mild osteoarthrosis of the hands, and
obesity were non-severe impairments. Id. Plaintiff also alleged she had Sjogren’s syndrome;
however, the ALJ determined that this was not a medically determinable impairment. AR 26.
At step three, the ALJ found that none of Plaintiff’s impairments, alone or in
combination, met or medically equaled a Listing. AR 27–28. Because the ALJ found that none of
the impairments met a Listing, the ALJ assessed Plaintiff’s RFC. AR 28–35. The ALJ found
Plaintiff had the RFC to
perform a full range of work at all exertional levels but with the following non-
exertional limitations: she can understand, remember, and maintain attention and
concentration to carry out detailed but not complex instructions in two hour
increments with normal breaks in the workday; she can have occasional interaction
with the general public, frequent interaction with coworkers and frequent
interaction with supervisors; she can use judgment to make detailed but not
complex work-related decisions; she can deal with frequent changes in a routine
work setting.
AR 28.
At step four, the ALJ found that Plaintiff did not have any past relevant work. AR 35.
The ALJ found Plaintiff not disabled at step five because she could perform jobs that exist in
significant numbers in the national economy—such as window cleaner, floor waxer, and kitchen
helper. AR 35–36.
Plaintiff requested review by the Appeals Council. AR 226–28. On June 4, 2025, the
Appeals Council denied the request for review. AR 11–16. Plaintiff timely filed her appeal to
this Court on August 8, 2025.5 Doc. 1.
IV. Plaintiff’s Claims
Plaintiff raises two arguments for reversing the ALJ’s decision and remanding this case:
(1) “the ALJ erred as a matter of law by failing to adequately assess the severity of Plaintiff’s
physical limitations at step 2 and failed to properly determine [Plaintiff’s] RFC”; and (2) the ALJ
failed to properly assess the opinions of consultative examiner Susan Giron, FNP and non-
examining state agency consultants Nancy Armstrong, MD, and Renu Debroy, MD. See Doc. 14-
2 at 7–25. The Court remands based upon the ALJ’s failure to properly assess FNP Giron’s
5 A claimant has sixty days to file an appeal. The sixty days begins running five days after the
decision is mailed. 20 C.F.R. § 404.981; see also AR 12.
opinion. The Court does not address the other claims of error, as they “may be affected by the
ALJ’s treatment of this case on remand.” Watkins v. Barnhart, 350 F.3d 1297, 1299 (10th Cir.
2003).
V. Analysis
Plaintiff argues that the ALJ failed to properly assess the opinion of FNP Giron, who
conducted a consultative physical examination of Plaintiff and concluded that Plaintiff had no
functional limitations resulting from her physical impairments. See Doc. 14-2 at 23–25, Doc. 22
at 5–6. Plaintiff raises two specific arguments. First, Plaintiff contends that the ALJ erred by
failing to “resolve internal inconsistencies in [FNP Giron’s] opinion before finding it
persuasive.” Doc. 14-2 at 23, Doc. 22 at 5–6. Second, Plaintiff argues the ALJ ignored other
evidence in the record regarding her physical impairments that could “reasonably produce”
physical functional limitations inconsistent with FNP Giron’s opinion. See Doc. 14-2 at 24–25.
In response, the Commissioner counters that FNP Giron’s opinion was supported by her physical
examination findings, which “revealed normal physical functioning.” Doc. 21 at 9. The
Commissioner also asserts that Plaintiff is improperly asking the Court to reweigh the ALJ’s
findings. Id.
For the reasons discussed below, the Court finds that the ALJ failed to sufficiently
articulate the supportability and consistency of FNP Giron’s opinion.
A. Applicable Law
Social Security regulations define five categories of evidence: (1) objective medical
evidence, (2) medical opinions, (3) other medical evidence, (4) evidence from nonmedical
sources, and (5) prior administrative medical findings. 20 C.F.R. § 404.1513(a). The SSA
evaluates evidence it receives “according to the rules pertaining to the relevant category of
evidence.” Id.
Certain legal principles apply to all categories of evidence. The ALJ must demonstrate
that he or she “considered all of the evidence” and must discuss not only the evidence supporting
his or her decision, but also “the uncontroverted evidence he [or she] chooses not to rely upon, as
well as significantly probative evidence he [or she] rejects.” Clifton v. Chater, 79 F.3d 1007,
1009–10 (10th Cir. 1996). The ALJ’s narrative must “explain how any material inconsistencies
or ambiguities in the evidence in the case record were considered and resolved.” SSR 96-8p,
1996 WL 374184, at *7. The ALJ may not “mischaracterize or downplay evidence to support her
[or his] findings.” Bryant v. Comm’r, SSA, 753 F. App’x 637, 641 (10th Cir. 2018) (citing Talbot
v. Heckler, 814 F.2d 1456, 1463–64 (10th Cir. 1987)). And the ALJ may not “pick and choose
among medical reports, using portions of evidence favorable to his [or her] position while
ignoring other evidence.” Carpenter v. Astrue, 537 F.3d 1264, 1265 (10th Cir. 2008) (citation
and quotation omitted).
The rules pertaining to medical opinions require the SSA to evaluate and articulate the
persuasiveness of the medical opinions. 20 C.F.R. § 404.1520c(a)-(b). In evaluating the
persuasiveness of medical opinions, the SSA considers five factors: (1) supportability, (2)
consistency, (3) relationship with the claimant, (4) specialization, and (5) other factors that
support or contradict a medical opinion or finding. 20 C.F.R. § 404.1520c(c). While the
regulations allow the ALJ some discretion in how he or she articulates findings on the persuasive
value of medical opinion evidence, it provides no leeway as to whether the ALJ articulates such
findings. See 20 C.F.R. § 404.1520c(b) (providing that the ALJ “will articulate” how persuasive
he . . . finds “all of the medical opinions” in the case record). The ALJ is always required to
explain how he or she considered the first two factors: “[W]e will explain how we considered the
supportability and consistency factors for a medical source’s medical opinions . . . in your
determination or decision.” 20 C.F.R. § 404.1520c(b)(2). The ALJ is only required to explain
how he or she considered the other three factors if differing medical opinions are equally well-
supported and consistent with the record. 20 C.F.R. § 404.1520c(b)(3).
As the Tenth Circuit has explained,
“[s]upportability” examines how closely connected a medical opinion is to the
evidence and the medical source’s explanations: “The more relevant the objective
medical evidence and supporting explanations presented by a medical source are to
support his or her medical opinion(s), the more persuasive the medical opinions
will be.” [20 C.F.R.] § 404.1520c(c)(1); id. § 416.920c(c)(1). “Consistency,” on the
other hand, compares a medical opinion to the evidence: “The more consistent a
medical opinion(s) is with the evidence from other medical sources and nonmedical
sources in the claim, the more persuasive the medical opinion(s) will be.” Id. §
404.1520c(c)(2); id. § 416.920c(c)(2).
Zhu v. Comm’r, SSA, No. 20-3180, 2021 WL 2794533, at *6 (10th Cir. Jul. 6, 2021) (brackets
and ellipses omitted).
B. FNP Giron’s Opinion
On June 10, 2023, FNP Giron conducted a physical consultative examination of Plaintiff.
AR 1358–64. At the examination, FNP Giron took Plaintiff’s past medical, social, and family
history. AR 1358–60. FNP Giron noted that Plaintiff reported a history of: (1) breathing
problems; (2) osteoarthritis with reported symptoms including “chronic pain, inflammation,
stiffness, swelling, and tingling in bilateral legs” and a pain intensity of “7/10 on most days”; (3)
depression, anxiety, and PTSD; (4) diabetes; (5) insomnia; (6) “non-alcoholic fatty liver” with
symptoms consisting of “blurred vision, joint swelling, and stomach problems”; and (7) “blood
disease” with symptoms consisting of chronic fatigue and weight gain. See AR 1358–59.
During her physical examination of Plaintiff, FNP Giron noted tenderness in Plaintiff’s
bilateral hips, knees, and ankles. AR 1363. She also observed that Plaintiff had moderate
difficulty squatting and rising from that position, and that while Plaintiff was able to stand on
one foot bilaterally, she was unable to hop on one foot bilaterally. Id. FNP Giron later referenced
these examination findings in her opinion, stating:
With her exam, [Plaintiff] had pain to bilateral knees, hips, and ankles. Some
moderate difficulty with squat and rise and she was unable to hop on either foot
bilaterally. She just states for her hip, knee and ankle pain she just started physical
therapy twice a week as off [sic] two days ago.
AR 1364.
Based on her examination, FNP Giron opined that Plaintiff had no functional limitations
resulting from her physical impairments:
[Plaintiff] has no limitations with sitting, standing or walking. [Plaintiff] does not
need an assistive device with regard to short and long distances and uneven terrain.
[Plaintiff] does not have significant limitations with lifting or carrying weight.
There are no limitations on bending, stooping, crouching and squatting. There are
no limitations on reaching, grasping, handling, fingering and feeling. There are no
relevant visual, communicative or workplace environmental limitations.
Id.
C. The ALJ’s Evaluation of FNP Giron’s Opinion
After summarizing FNP Giron’s consultative examination and opinion, the ALJ found
FNP Giron’s opinion “persuasive.” AR 33. In support of this conclusion, the ALJ stated:
[FNP Giron’s opinion] is persuasive; it is supported by generally normal physical
exam findings other than pain to the bilateral knees, hips, and ankles. [Plaintiff] had
some moderate difficulty with squat and rise and she was unable to hop on either
foot bilaterally. This is consistent with [the] record as a whole documenting
generally normal findings on exam, and after reviewing the medical evidence, I also
find no basis for difficulty with her ability to squat and hop.
Id. FNP Giron’s opinion is the only medical opinion regarding Plaintiff’s physical limitations
that the ALJ found persuasive.6
D. The ALJ Failed to Sufficiently Articulate the Supportability of FNP Giron’s
Opinion
Plaintiff first argues that the ALJ erred by failing to resolve inconsistencies between FNP
Giron’s opinion assessing no physical functional limitations and the “abnormal findings [F]NP
Giron herself observed and documented” during her examination of Plaintiff. Doc. See 14-2 at
23–24. The Commissioner counters that FNP Giron’s opinion is supported by her examination,
which the Commissioner maintains showed normal physical functioning. See Doc. 21 at 9.
“Internal inconsistencies in a medical opinion go to the opinion’s supportability.” Carroll
v. Bisignano, No. 24cv1211 KG/KK, 2026 WL 184548, at *8 (D.N.M. Jan. 23, 2026) (citation
omitted), report and recommendation adopted, 2026 WL 374085 (D.N.M. Feb. 10, 2026). The
Tenth Circuit has explained that an ALJ’s supportability analysis “looks at the objective medical
evidence and supporting explanations presented by a medical source to support his or her
medical opinion(s),” and seeks to answer whether the examiner’s opinions are “well explained”
and “supported by the medical evidence he or she relied upon.” Riley v. Comm’r, SSA, No. 25-
5007, 2025 WL 3276227, at *2 (10th Cir. Nov. 25, 2025) (unpublished) (citation modified). In
assessing the supportability of a medical opinion, the ALJ must explain how any material
inconsistencies or ambiguities in the opinion were considered and resolved. See SSR 96-8p, 1996
6 State agency medical consultants Dr. Armstrong and Dr. Debroy limited Plaintiff to light
exertional work, standing and/or walking (with normal breaks) for six hours in an eight-hour
workday, sitting (with normal breaks) for six hours in an eight-hour workday, occasional
stooping, and frequent kneeling, crouching, and crawling. See AR 76–77, 101–102. The ALJ
found Dr. Armstrong and Dr. Debroy’s opinions were not persuasive. AR 32–33.
WL 374184, at *7. While an ALJ’s explanation need not be technically perfect, the Court still
must be able to follow the ALJ’s reasoning. Riley, 2025 WL 3276227, at *2.
The Court agrees with Plaintiff that the ALJ erred in assessing the supportability of FNP
Giron’s opinion based on the ALJ’s failure to adequately consider and resolve an inconsistency
between FNP Giron’s opinion and her clinical examination findings. As Plaintiff points out, FNP
Giron’s opinion that Plaintiff had “no limitations on bending, stooping, crouching and squatting”
was inconsistent with her own documented clinical observations that Plaintiff had “moderate
difficulty with squat and rise . . . and was unable to hop on either foot bilaterally.” AR 1364. The
ALJ acknowledged these clinical examination findings but concluded that there was “no basis
for difficulty with [Plaintiff’s] ability to squat and hop” based on a review of “the medical
evidence.” AR 33. The ALJ did not, however, identify the medical evidence she considered. As a
result, the Court cannot trace the basis for the ALJ’s conclusion that there was no medical
support for any difficulty with Plaintiff’s ability to squat and hop. The ALJ failed to address and
resolve the material inconsistency in FNP Giron’s opinion in a manner that allows the Court to
follow her reasoning. Accordingly, the ALJ’s supportability analysis is legally insufficient. See
Zambrano v. Kijakazi, No. 20cv1356 KRS, 2022 WL 1746765, at *5 (D.N.M. May 31, 2022)
(“An ALJ must, at the very least, provide an explanation that allows the reviewing court to
follow his reasoning and communicates how he considered the factors of consistency and
supportability for each medical source’s opinions.”); Nathan H. v. O’Malley, No. 23cv756 JMR,
2024 WL 3633790, at *8 (D.N.M. Aug. 2, 2024) (“A bare conclusion as to supportability is
legally insufficient.”).
The Court is not persuaded by the Commissioner’s single-sentence argument that the
ALJ’s assessment of FNP Giron’s opinion was sufficient because FNP Giron’s “examination of
Plaintiff revealed normal physical functioning.” See Doc. 21 at 9. The Commissioner fails to
explain the contradiction between the normal findings in FNP Giron’s final impression and the
moderate difficulties she observed in Plaintiff’s ability to squat, rise, and hop on physical exam.
The Court also cannot say that this error was harmless because the three jobs identified
by the vocational expert—window cleaner (DOT 389.687-014), floor waxer (DOT 381.687-034),
and kitchen helper (DOT 318.687-010)—each required stooping, crouching, and/or kneeling.7
See SELECTED CHARACTERISTICS OF OCCUPATIONS DEFINED IN THE REVISED DICTIONARY OF
OCCUPATIONAL TITLES (“SCO”), 1993, p. 132 (the kitchen helper job involves frequent stooping
and crouching; floor waxer involves frequent stooping and kneeling; and window cleaner
involves frequent stooping and occasional kneeling and crouching); see also Kimes v. Comm’r,
SSA, 817 F. App’x 654, 658 (10th Cir. 2020) (unpublished) (recognizing SCO as companion
publication to the Dictionary of Occupational Titles (“DOT”) that may be considered at step
five).
E. The ALJ Failed to Sufficiently Articulate the Consistency of FNP Giron’s Opinion
Plaintiff also argues that the ALJ ignored other evidence in the record regarding her
physical impairments that could “reasonably produce” physical functional limitations
7 “[T]he DOT/SCO both utilize the term crouching rather than squatting; however, courts have
found that the SCO’s definition of crouching, i.e., bending body downward and forward by
bending legs and spine, SCO, App’x C, Physical Demands, § 6, equates to squatting.” Parker v.
Berryhill, No. 17cv882, 2019 WL 653150, at *5 (M.D.N.C. Feb. 15, 2019) (citation modified);
see also Sutherland v. Comm’r of Soc. Sec. Admin., No. 23cv247 JAR, 2024 WL 4346725, at *3
(E.D. Okla. Sept. 30, 2024) (“While the Dictionary of Occupational Titles does not utilize the
term squatting among the required functions of the jobs listed, it is easily and logically equated
to either kneeling or crouching – terms used in the DOT.”); Pederzolli v. Comm’r of Soc. Sec.
Admin., No. 17cv4705 PHX-DWL, 2019 WL 1227216, at *4 (D. Ariz. Mar. 15, 2019)
(“Although squatting is not a postural-manipulative impairment recognized in Social Security
terminology, crouching is recognized, and crouching is essentially synonymous with squatting.”)
(citation modified).
inconsistent with FNP Giron’s opinion that Plaintiff had no functional limitations. See Doc. 14-2
at 24–25. Plaintiff points in particular to the results of lumbosacral and hand imaging studies, an
abdominal MRI elastography, and a CT scan of the abdomen and pelvis. Id. The Court construes
Plaintiff’s argument as a challenge to the ALJ’s consistency analysis of FNP Giron’s opinion.
When evaluating the persuasiveness of a medical opinion, the ALJ must address its
consistency with evidence from other medical and nonmedical sources. See 20 C.F.R.
§ 404.1520c(b)(2). Consistency “calls for a comparison between the subject medical opinion and
‘the evidence from other medical sources and nonmedical sources’ in the record.” Zambrano,
2022 WL 1746765, at *5 (citation omitted). “The more consistent a medical opinion is with the
evidence from other medical sources and nonmedical sources in the claim, the more persuasive
the medical opinion will be.” Zhu, 2021 WL 2794533, at *6 (citation modified). A bare
conclusion regarding consistency is insufficient. Zambrano, 2022 WL 1746765, at *5.
Here, the ALJ’s consistency analysis was comprised of her finding that: (1) FNP Giron’s
opinion was “consistent with [the] record as a whole documenting generally normal findings on
exam” and (2) there was “no basis for difficulty with [Plaintiff’s] ability to squat and hop” based
on a review of “the medical evidence.” AR 33. The ALJ’s references to the “record” and “the
medical evidence” signal that the ALJ compared FNP Giron’s opinion with the other record
evidence. But the ALJ did not specify the evidence she considered for that comparison and the
failure to do so prevents the Court from engaging in meaningful judicial review. “Although ALJs
need not cite to specific record evidence, they must note the evidence upon which they relied,
and that evidence must be specific, and verifiably supported by the record evidence.” Garner v.
Kijakazi, No. 21cv905 GBW, 2023 WL 2727788, at *7 (D.N.M. Mar. 31, 2023). Because the
ALJ failed to do so here, the Court cannot tell whether the ALJ considered any evidence that
corroborated FNP Giron’s clinical examination findings regarding Plaintiff’s difficulty with
squatting and hopping.8 See Clifton, 79 F.3d at 1010 (“[I]n addition to discussing the evidence
supporting his decision, the ALJ must also discuss the uncontroverted evidence he chooses not to
rely upon, as well as [the] significantly probative evidence he rejects.”). In short, the ALJ failed
to “build an accurate and logical bridge from the evidence to [her] conclusion.” Bowker v.
Bisignano, No. 24cv1174 MIS/KK, 2026 WL 205478, at *15 (D.N.M. Jan. 26, 2026) (citation
omitted).
The Court therefore concludes that the ALJ did not adequately articulate her analysis of
the consistency factor in evaluating the persuasiveness of FNP Giron’s opinion. See, e.g., Frazer,
2022 WL 682661, at *6 (“An ALJ’s failure to provide any reasons for rejecting a medical source
opinion beyond stating that it is inconsistent with the record is grounds for remand.”); Sankara S.
v. Bisignano, No. 2:25cv31 JHR, 2026 WL 892495, at *5 (D.N.M. Mar. 31, 2026) (determining
that an ALJ’s finding that a medical opinion was “not supported by and is inconsistent with the
evidence as a whole” was “too vague to qualify as substantial evidence”).
8 This evidence included physical therapy records dating as far back as 2016 showing that
Plaintiff had moderate to severe difficulty with squatting. See, e.g., AR 480 (June 2016 treatment
record indicating moderate difficulty with bilateral squatting and severe difficulty with unilateral
squatting); AR 1144 (April 2021 treatment record indicating severe difficulty with squatting);
AR 1185 (June 2021 treatment record documenting moderate difficulty with squatting). Plaintiff
also consistently self-reported limitations in her ability to squat and hop in her function report
and treatment records. See AR 322 (stating in her function report that she has a “hard time
bending, squatting, and getting back up”); AR 1133–35 (April 2022 physical therapy
questionnaire where Plaintiff reported “quite a bit of difficulty” with squatting and “a little bit of
difficulty” with hopping); AR 1189–92 (June 2021 physical therapy questionnaire where
Plaintiff reported “moderate difficulty” with squatting and “extreme difficulty” hopping); AR
1365, 1370 (January 2023 consultative mental examination where Plaintiff reported she had
“limited ability to bend, stoop, or crouch” and the consultative examiner recommended Plaintiff
work with her providers on a plan to improve “balance, stamina, and [] strengthening core and
extremities to prevent further deterioration.”).
VI. Conclusion
The ALJ erred by failing to properly assess the persuasiveness of FNP Giron’s opinion.
The Court remands so that the ALJ can remedy this error. The Court does not address Plaintiff's
other arguments as they “may be affected by the ALJ’s treatment of this case on remand.”
Watkins, 350 F.3d at 1299.
IT IS THEREFORE ORDERED that Plaintiff's Motion to Reverse and Remand
(Doc. 14) is GRANTED.
IT IS FURTHER ORDERED that the Commissioner’s final decision is REVERSED, and
this case is REMANDED for further proceedings in accordance with this opinion.
nited States Magistrate Judge
residing by Consent
15
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