Statute Annotations › Federal › 20 C.F.R. § 404.1527

20 C.F.R. § 404.1527

Evaluating medical opinions: the cases that interpreted this section

Jurisdiction
Federal
Case notes
10,655
Cited in passing
2,357
Citing cases indexed
23,130
Case dates
1974–2026
Screened through
2026-06-24
Checked for later law changes
2026-10-16
Courts' treatment: live
No reviewed case has held this section invalid, preempted, superseded or repealed.
This reflects what the reviewed cases said, not legislative action: a later amendment or repeal by the legislature would not appear here unless a reviewed case discussed it.

13,012 citing cases reviewed of 23,130 in the citation index: 10,655 interpreted the section (annotated below), 2,357 cited it only in passing. Cases filed after 2026-06-24 may not have been reviewed yet.

Have a situation under 20 C.F.R. § 404.1527?

These notes show how courts have ruled. Ask about your specific facts and see which of these rulings apply, with citations you can check.

Definitions and sources of medical opinions

Law changed since Since March 27, 2017, § 404.1527 applies to claims filed before that date; § 404.1520c governs evaluation of medical opinions for later claims (82 FR 5844).

Section 404.1527 requires an ALJ rationale for weighing a medical opinion to be discernible and supported by substantial record evidence, though the ALJ need not explicitly address every listed factor.

Larocque v SSA · filed 2015-05-14(c)

While the Acting Commissioner is correct that the ALJ need not explicitly take account of all of the factors articulated in 20 C.F.R. § 404.1527(c) in determining what weight to give to a medical opinion or an opinion from an “other medical source,” the court must at the least be able to discern the rationale the ALJ used to reach her determination, and that rationale must be supported by substantial record evidence.
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Law changed since Same change as noted above.

Section 404.1527(d) identifies factors for evaluating acceptable medical-source opinions, and an ALJ may also apply those factors to opinions from other sources.

Slattery v. Colvin · filed 2015-06-29(d)

... Although the factors set forth in 20 C.F.R. §§ 404.1527(d) and 416.927(d) only apply to “acceptable medical sources,” the ALJ can apply them to opinions from “other sources.” SSR 06-03p, 2006 WL 2329939, at *4. These factors include: the frequency of treatment, consistency with other evidence, degree of supporting evidence, thoroughness of explanation, and whether the source has an area of expertise.
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Law changed since Same change as noted above.

Section 404.1527(b) requires an administrative law judge to consider all medical opinions in the claimant’s case record together with other relevant evidence.

McClurkin v. Social Security Administration, Commissioner · filed 2015-09-04(b)

An ALJ must consider all medical opinions in a claimant’s case record, together with other relevant evidence. 20 C.F.R. § 404.1527(b). “[T]he ALJ must state with particularity the weight given to different medical opinions and the reasons therefor.” Winschel, 631 F.3d at 1179.
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Law changed since Same change as noted above.

Section 404.1527(c) requires an ALJ to consider the length of the treatment relationship and the medical source’s knowledge of the claimant’s impairments when evaluating a medical opinion.

Tucker v. Colvin · filed 2015-07-30(c)

The ALJ is required to consider the length of the treatment relationship as well as the level of knowledge the medical source has about the claimant’s impairments.
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Law changed since Same change as noted above.

Section 404.1527(c) requires an ALJ to consider six factors in weighing a medical opinion, but does not require explicit discussion of every factor when the decision sufficiently explains the assigned weight and reasons.

Rivera v. Colvin · filed 2015-10-20(c)

An ALJ must consider six factors to determine what weight to give a medical opinion: (1) the examining relationship between the physician and the applicant; (2) the length, nature, and extent of their treatment relationship; (3) the strength of the evidence supporting the opinion; (4) the consistency of the opinion with the record as a whole; (5) the physician’s specialty; and (6) any other factors, such as the physician’s familiarity with disability programs and the extent of his familiarity with other information in the record, that tend to support or contradict the opinion. See 20 C.F.R. §§ 404.1527(c), 416.927(c); Goatcher v. U.S. Dep’t of Health & Human Servs., 52 F.3d 288, 290 (10th Cir. 1995). Here, the ALJ did not discuss all the factors, but he cited them, and his decision was specific enough for us to determine what weight he gave the opinions and why.
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Law changed since Same change as noted above.

Section 404.1527’s factors for weighing acceptable medical-source opinions apply equally to opinions from medical and non-medical sources that are not acceptable medical sources.

Hays v. Colvin · filed 2015-10-22(c)(2), (4), (6)

Physical therapists fall within the category of “other sources,” whose opinions may be considered to show the severity of a claimant’s impairment. ... “[T]he factors for weighing the opinions of acceptable medical sources set out in 20 C.F.R. § 404.1527(d) and § 416.927(d) apply equally to all opinions from medical sources who are not acceptable medical sources as well as from other non-medical sources.” ... Although some of the § 404.1527 factors weigh in favor of Mr. Brown’s evaluation, the ALJ was entitled to give it diminished weight because he was not a treating source and saw Ms. Hays only twice, made assessments that were inconsistent with each other, and noted in his report her unwillingness to perform some of the functional ability tests.
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Law changed since Same change as noted above.

Section 404.1527 requires an ALJ to evaluate every medical opinion, explain the weight assigned to each, and generally give the greatest weight to treating-source opinions, less to examining-source opinions, and least to nonexamining-source opinions.

Boyer v. Colvin, Commissioner, SSA · filed 2016-01-15(c), (e)(2)(ii)

An ALJ must evaluate every medical opinion he receives. See 20 C.F.R. §§ 404.1527(c) & 416.927(c). As a general rule, but subject to exceptions, an ALJ should give the greatest weight to the opinion of a medical source who has treated the claimant, less weight to the opinion of a medical source who has only examined the claimant, and the least weight to the opinion of a medical source who has neither treated nor examined the claimant. See 20 C.F.R. §§ 404.1527(c)(1) & (2), 416:927(c)(1) & (2). Moreover, the ALJ is obligated to explain the weight he gives to each medical opinion he evaluates. See 20 C.F.R. §§ 404.1527(e)(2)(ii) & 416.927(e)(2)(ii).
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Law changed since Same change as noted above.

Section 404.1527 requires an ALJ to weigh medical opinions using relevant factors such as the treatment relationship and supportability, generally giving more weight to examining sources and considering supporting explanations from nonexamining sources.

Brindley v SSA · filed 2016-01-29(c), (c)(1), (c)(3)

... I note, however, that an ALJ considers a number of factors when weighing a medical opinion, including the relationship between the claimant and the source of the opinion, and the opinion’s supportability. 20 C.F.R. § 404.1527(c). Accordingly, an ALJ generally will “give more weight to the opinion of a source who has examined [the claimant] than to the opinion of a source who has not . . . .” Id. § 404.1527(c)(1). Moreover, “because nonexamining sources have no examining or treating relationship with [the claimant], the weight [the ALJ] will give their opinions will depend on the degree to which they provide supporting explanations for their opinions.” Id. § 404.1527(c)(3). The ALJ should address these and other relevant factors in weighing opinion evidence on remand.
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Law changed since Same change as noted above.

Section 404.1527(c) requires an ALJ to determine the weight of each medical opinion by considering factors including examination and treatment relationships, supporting evidence, consistency with the record, specialization, and other relevant factors.

Frank Dooley, Jr. v. Comm'r of Social Security · filed 2016-07-28(c)

An ALJ must determine how much weight to give to each of the medical opinions in the record. 20 C.F.R. §§ 404.1527(c), 416.927(c). In making this determination, the ALJ should consider various factors, including (1) whether the medical source who provided the opinion has examined the claimant; (2) whether the source treated the claimant; (3) the amount of relevant evidence the source provided to support the opinion; (4) the extent to which the opinion is consistent with the record as a whole; (5) whether the source is a specialist; and (6) any other relevant factors, such as the source’s knowledge of the Commissioner’s disability programs and the extent to which the source is familiar with the claimant’s history of treatment. 20 C.F.R. §§ 404.1527(c)(1)−(6); 416.927(c)(1)−(6).
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Law changed since Same change as noted above.

Section 404.1527(c) requires the ALJ to consider all medical opinions and explain the weight assigned to each opinion.

Deherrera v. Colvin · filed 2016-03-30(c)

The ALJ must of course consider all medical opinions in the record and discuss the weight assigned to each opinion.
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Law changed since Same change as noted above.

Section 404.1527(c)(2) requires an ALJ to provide good reasons for rejecting a contradictory treating-source medical opinion in favor of non-medical evidence or a non-treating medical opinion, but § 404.1527(e)(2) does not require good reasons to reject a non-treating source’s opinion.

Orndorff v. Colvin · filed 2016-04-13(c)(2), (e)(2)

Section 404.1527(c)(2) requires an ALJ to provide “good reasons” to reject a contradictory medical opinion from a treating source in favor of non-medical evidence or a non-treating medical opinion. ... However, for non-treating sources, the Regulations do not require “good reasons” to reject them.
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Law changed since Same change as noted above.

Section 404.1527(a)(2) defines a medical opinion as a statement from a physician, psychologist, or other acceptable medical source reflecting judgments about the nature and severity of an impairment, including symptoms, diagnosis, prognosis, capabilities, and restrictions.

Nixon v. Colvin · filed 2016-06-07(a)(2)

Medical opinions are defined as "statements from physicians and psychologists or other acceptable medical sources that reflect judgments about the nature and severity of your impairment(s), including your symptoms, diagnosis and prognosis, what you can still do despite impairment(s), and your physical or mental restrictions.” 20 C.F.R. §§ 404.1527(a)(2), 416.927(a)(2).
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Law changed since Same change as noted above.

Section 404.1527(c) supplies the factors an ALJ should use when weighing opinions from medical sources that are not acceptable medical sources.

Durden v. Colvin · filed 2016-03-03(c)

When the evidence is from “[mjedical sources who are not ‘acceptable medical sources,’ such as nurse practitioners, physician assistánts, licensed clinical social workers, naturo-paths, chiropractors, audiologists, and therapists,”, the ALJ should apply “the factors for weighing opinion evidence” contained in 20 C.F.R. § 404.1527(c).
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Law changed since Same change as noted above.

Section 404.1527(a)(1) distinguishes medical opinions from symptom descriptions lacking specific functional restrictions, while § 404.1527(a)(2) defines a treating source through an ongoing relationship arising from a medical need rather than solely support for a disability claim.

MILLNER v. COMMISSIONER OF SOCIAL SECURITY · filed 2019-07-25(a)(1), (a)(2)

Additionally, the questionnaires do not fit the definition of “medical opinions” provided by 20 C.F.R. § 404.1527(a)(1)7 because, although many symptoms are described, specific functional restrictions are not. ... Therefore, the ALJ was not required to weigh these questionnaires, especially when they are not supported by the medical evidence in the record. ... Further, it is not clear Dr. Crain is a “treating source,” as defined by 20 C.F.R. § 404.1527(a)(2) as a physician that has an ongoing relationship with the claimant and provides treatment or evaluation. ... If a claimant’s relationship with a treating source does not stem from a medical need, but rather solely from a claimant’s need to support a disability claim, it is a “nontreating source.” 20 C.F.R. § 404.1527(a)(2).
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Law changed since Same change as noted above.

Section 404.1527(d)(2) requires an ALJ to explain how a medical source’s terminology connects to the agency’s definitions when evaluating that opinion.

Dunn v. Saul · filed 2019-11-26(d)(2)

The ALJ omitted any explanation of how Dr. Grujic’s terminology connected to the agency’s definitions in Dunn’s case, as the regulations require. See 20 C.F.R. § 404.1527(d)(2).
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Medical opinions: treating physician's conclusion not dispositive

Law changed since Same change as noted above.

Section 404.1527 does not make a physician's conclusion that a claimant is disabled dispositive of the claimant's ability to work.

Willie GARRISON, Plaintiff-Appellant, v. Margaret HECKLER, Secretary of Health and Human Services, Defendant-Appellee · filed 1985-06-25

The treating physician’s further assertion that Garrison is disabled from any employment is not a medical statement at all. See 20 C.F.R. § 404.1527 (physician’s conclusion not dispositive).
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Doctor's conclusions about disability

Law changed since Same change as noted above.

Section 404.1527 does not bind the Secretary to a doctor's conclusion that a claimant is disabled.

Barbarine CARRY, Plaintiff-Appellant, v. Margaret M. HECKLER, Secretary, Department of Health and Human Services, Defend · filed 1985-01-17

The Secretary is not bound by a doctor's conclusion that a claimant is disabled.
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Determining disability and evaluating physician statements

Law changed since Same change as noted above.

Section 404.1527 reserves the ultimate disability determination to the agency and requires review of the medical findings and other evidence supporting a physician's disability statement.

Boyes v. Louis W. Sullivan, M.D., Secretary of Health & Human Services · filed 1990-03-06

This regulation states, "We are responsible for determining whether you are disabled. Therefore, a statement by your physician that you are 'disabled' or 'unable to work' does not mean that we will determine that you are disabled. We have to review the medical findings and other evidence that supports a physician's statement that you are 'disabled.' "
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Law changed since Same change as noted above.

Section 404.1527 makes the agency—not a physician—responsible for deciding disability and requires it to review the medical findings and other evidence supporting a physician's statement that a claimant is disabled.

Short v. Sullivan · filed 1989-12-29

Section 404.1527 provides: "We are responsible for determining whether you are disabled. Therefore, a statement by your physician that you are 'disabled' or 'unable to work’ does not mean that we will determine that you are disabled. We have to review the medical findings ... and other evidence that support a physician’s statement that you are ‘disabled.’"
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Law changed since Same change as noted above.

Section 404.1527(e)(1) provides that a medical source's statement that a claimant is disabled or unable to work does not decide disability; that determination belongs to the Commissioner.

Ostronski v. Chater · filed 1996-08-22(e)(1)

"A statement by a medical source that [a claimant is] `disabled' or `unable to work' does not mean that [the Commissioner] will determine that [the claimant is] disabled." 20 C.F.R. § 404.1527(e)(1). The determination of whether a claimant meets the statutory definition of disability is the responsibility of the Commissioner. Id.
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Law changed since Same change as noted above.

A physician's statement that a claimant is disabled or unable to work is not controlling; the agency must review the medical findings and other evidence supporting it.

WRIGHT, Joya, Appellant, v. SULLIVAN, Louis, Secretary of Health and Human Services · filed 1990-04-09

"[a] statement by your physician that you are 'disabled' or 'unable to work' does not mean that we will determine that you are disabled. We have to review the medical findings and other evidence that support a physician's statement that you are 'disabled.' "
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Law changed since Same change as noted above.

Section 404.1527(e)(1) provides that a medical source’s statement that a claimant is disabled or unable to work does not determine that the claimant is disabled.

Hughes v. Barnhart · filed 2003-02-20(e)(1)

As the regulations make clear, however, a “statement by a medical source that you are ‘disabled’ or unable to work does not mean that we will determine that you are disabled.”
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Law changed since Same change as noted above.

Section 404.1527(d)(1) reserves the ultimate disability determination to the Commissioner, so an opinion that a claimant is disabled receives no weight, although its supporting medical findings and evidence must still be considered.

Slaydon v. Saul · filed 2019-08-06(d)(1)

Medical source opinions on issues reserved to the Commissioner are not entitled to any weight. 20 C.F.R. § 404.1527(d). One issue reserved to the Commissioner is whether plaintiff is disabled. Id. § 404.1527(d)(1). “[W]hen a medical source renders an opinion that a claimant is disabled or unable to work, the ALJ will consider all of the medical findings and other evidence that support the medical sources opinion, but will not necessarily make a favorable disability determination.” Brown v. Comm’r Soc. Sec. Admin., 873 F.3d 251, 256 (4th Cir. 2017) (internal quotations and citations omitted). Here, the ALJ properly declined to give Dr. Watson’s statement that plaintiff is disabled any weight, but failed to properly weigh the medical findings and other evidence supporting the medical source’s opinion.
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Section 404.1527 permits the agency to weigh a physician’s statement that a claimant is disabled in light of its underlying clinical support.

Rodriguez v. Secretary of Health and Human Services · filed 1981-05-04

The agency is free to take account of the amount, and nature, of underlying clinical support, ... in determining the weight to give to the statements of Dr. Colon and Dr. Zamora declaring plaintiff to be disabled.
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Section 404.1527 does not let a physician’s statement that a claimant is disabled or unable to work determine disability; the agency must review the supporting medical findings and other evidence.

Ersa LANDSAW, Plaintiff-Appellant, v. SECRETARY OF HEALTH AND HUMAN SERVICES, Defendant-Appellee · filed 1986-08-21

However, the record contains no underlying clinical findings. ... see also 20 C.F.R. § 404.1527: ... Conclusion by physicians concerning your disability. ... We are responsible for determining whether you are disabled. Therefore, a statement by your physician that you are “disabled” or “unable to work” does not mean that we will determine that you are disabled. ... We have to review the medical findings and other evidence that support a physician’s statement that you are “disabled. ” ... (emphasis supplied).
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Weight of medical opinions

Law changed since Same change as noted above.

Section 404.1527(d)'s factors for weighing acceptable medical-source opinions apply equally to opinions from medical sources who are not acceptable medical sources and other non-medical sources.

Chavez v. Social Security Administration · filed 2021-01-04(d)

“[T]he factors for weighing the opinions of acceptable medical sources set out in 20 C.F.R. §§ 404.1527(d), 416.927(d) apply equally to all opinions from medical sources who are not acceptable medical sources as well as from other non-medical sources.” ... Therefore, the Court agrees that it was impermissible to reject PA Maroney’s opinion on the ground that he was not an acceptable medical source.
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For claims filed before March 27, 2017, § 404.1527 governs how an ALJ weighs medical opinions: every opinion must be evaluated, treating-source opinions are considered first for controlling weight, and if controlling weight is denied, the ALJ must consider the factors in paragraphs (c)(1)-(6).

Morris v. Commissioner of Social Security · filed 2021-01-14(c)

As Plaintiff filed his applications prior to March 27, 2017, the rules in 20 C.F.R. § 404.1527 apply to the ALJ’s assignment of weight to the medical opinions in the record. The regulations require Administrative Law Judges to evaluate every medical opinion in the record. 20 C.F.R. § 404.1527(c). The process of assigning weight to medical opinions in the record begins with a determination whether to assign controlling weight to the medical opinion of the treating source. 20 C.F.R. § 404.1527(c). If controlling weight is not assigned to the treating source’s opinion, the Administrative Law Judge must consider the factors in paragraphs (c)(1)-(6) of this section in deciding how much weight to accord each of the medical opinions in the record, including the medical opinion from the treating source. 20 C.F.R. § 404.1527(c).
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Law changed since Same change as noted above.

Section 404.1527(c) provides that medical opinions are weighed under factors including the examining relationship, treatment relationship, and specialization, with examining, treating, and specialist opinions generally receiving more weight.

Henley v. Commissioner of Social Security · filed 2021-02-01(c)

Relevant here, the opinions of examining physicians are generally given more weight than non-examining physicians, treating more than non-treating physicians, and specialists more than non-specialist physicians. 20 C.F.R. § 404.1527(c)(1-5). ... To begin, as a one-time consultative examiner, Dr. Fontoura’s opinion was not entitled to any special consideration by the ALJ. In other words, the ALJ did not need to articulate good cause for rejecting Dr. Fontoura’s findings.
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Law changed since Same change as noted above.

Section 404.1527 gives greater weight to treating and examining opinions than to non-examining opinions and permits rejection of a contradicted treating or examining opinion only for specific and legitimate reasons supported by substantial evidence.

(SS) Jones v. Commissioner of Social Security · filed 2021-02-04(d)(1)-(3)

“Generally, the opinions of examining physicians are afforded more weight than those of non-examining physicians, and the opinions of examining non-treating physicians are afforded less weight than those of treating physicians. ... “If a treating or examining doctor’s opinion is contradicted by another doctor’s opinion, an ALJ may only reject it by providing specific and legitimate reasons that are supported by substantial evidence.” ... The ALJ provided a specific and legitimate reason to reject Dr. Stuart’s April 12, 2018 opinion.
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Law changed since Same change as noted above.

Section 404.1527(d)(2) provides that medical-source opinions on issues such as residual functional capacity do not control the decision because final responsibility for those issues is reserved to the Commissioner.

Evans v. Commissioner of Social Security · filed 2021-02-09(d)(2)

Although medical opinions are considered in assessing a claimant’s RFC, ALJs are not required to adopt wholesale any one opinion. It is the ALJ’s duty to assess the record as a whole, resolve any conflicts, and formulate a RFC finding that is unique to the claimant and the evidence of record. See 20 C.F.R. §§ 404.1527(d)(2) and 416.927(d)(2) (“Although we consider opinions from medical sources on issues such as ... your residual functional capacity...the final responsibility for deciding these issues is reserved to the Commissioner.”); see also Cage v. Comm’r of Soc. Sec., 692 F.3d 118, 122 (2d Cir. 2012) (“In our review, we defer to the Commissioner's resolution of conflicting evidence.”); Veino v. Barnhart, 312 F.3d 578, 588 (2d Cir. 2002) (“Genuine conflicts in the medical evidence are for the Commissioner to resolve.”).
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Law changed since Same change as noted above.

Section 404.1527(c) requires an ALJ to consider acceptable medical source opinions and assign each opinion weight.

Sarbu v. Commissioner Social Security Administration · filed 2021-02-18(c)

An ALJ must consider the acceptable medical source opinions of record and assign weight to each. 20 C.F.R. §§ 404.1527(c), 416.927(c).
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Law changed since Same change as noted above.

Section 404.1527 requires an ALJ to consider each relevant factor before deciding how much weight to give a treating-source medical opinion, even when the opinion is not entitled to controlling weight.

LAFFITTE v. SAUL · filed 2021-02-22(c)

even if a “medical opinion was not entitled to controlling weight, it does not follow that the ALJ had free reign to attach whatever weight to that opinion that he deemed fit. The ALJ was requited to consider each of the six 20 C-F.R. § 404.1527(c) factors before casting [treating physician] opinion aside.”
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For claims filed before March 27, 2017, Section 404.1527 generally gives greater weight to treating doctors' opinions than to examining doctors' opinions, and greater weight to examining doctors' opinions than to non-examining doctors' opinions.

Thomas v. Commissioner of Social Security · filed 2020-07-24

The regulations applicable to cases filed before March 27, 2017 set out a hierarchy for treatment of opinion evidence—consistent with Ninth Circuit case law—in which more weight should generally be given to the opinion of a treating doctor than to an examining doctor, and more weight to the opinion of an examining doctor than to a non-examining doctor. ... This hierarchy underlies the requirement in the Ninth Circuit that an ALJ must provide clear and convincing reasons to reject an uncontradicted doctor’s opinion and specific and legitimate reasons where the record contains a contradictory opinion.
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Law changed since Same change as noted above.

Section 404.1527(c) requires an ALJ to explain the weight given to medical opinions by considering the relevant factors, but does not require a slavish recitation of each factor when the ALJ's reasoning and adherence to the regulation are clear.

Zwiebel v. Saul · filed 2020-11-17(c)

Although the ALJ did not necessarily recount the factors (see 20 C.F.R. § 416.927(c)) in assigning “some weight” to Dr. Pollack’s opinions, the Second Circuit has made clear that the ALJ need not produce a “slavish recitation of each and every factor [set forth in 20 C.F.R. § 404.1527(c)] where the ALJ’s reasoning and adherence to the regulation are clear.” ... Rather, the ALJ need only apply “the substance of the treating physician rule.” ... The Court thus concludes that the ALJ adequately explained the factors he considered in assigning some weight to Dr. Pollack’s opinion.
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Law changed since Same change as noted above.

Section 404.1527 requires an ALJ to weigh medical opinions based on supportability and consistency, and bars controlling weight for a treating physician’s opinion unless it is well supported and not inconsistent with the record.

Cathey v. Berryhill · filed 2021-04-30(c)(2)

When evaluating a disability claim, an ALJ weighs each medical opinion in a claimant’s case record based on factors including, among other things, how well the opinion is supported by relevant evidence and how consistent the opinion is with the record as a whole. 20 C.F.R. § 404.1527(c). Opinions from treating physicians generally receive greater weight than non-examining sources, 20 C.F.R. § 404.1527(c)(2), but not if the opinions are conclusory, unsupported, or inconsistent with the evidence of record. See Batson v. Comm’r of Soc. Sec., 359 F.3d 1190, 1195 (9th Cir. 2004). An ALJ may not give controlling weight to a treating doctor’s medical opinion unless it is well supported and not inconsistent with the record. See 20 C.F.R. § 404.1527(c)(2).
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Law changed since Same change as noted above.

Section 404.1527(c)(1) gives more weight to examining-source opinions, while § 404.1527(c)(2) requires good reasons for the weight assigned to treating-source opinions.

Bailey v. SSA · filed 2021-06-15(c)(1), (c)(2)

Under § 404.1527(c)(1),2 the SSA generally “give[s] more weight to the medical opinion of a source who has examined [the claimant] than to the medical opinion of a medical source who has not examined [the claimant].” ... Treating source opinions are also “give[n] more weight” because “these sources are likely to be the medical professionals most able to provide a detailed, longitudinal picture of [the claimant’s] medical impairment(s).” 20 C.F.R. § 404.1527(c)(2). The ALJ is required to give “good reasons . . . for the weight [he] give[s] [the claimant’s] treating source’s medical opinion.” Id. ... In evaluating Dr. Monderewicz’s opinion, the ALJ followed the guidelines in 20 C.F.R. § 404.1527(c)(1), by giving appropriate weight to an examining source opinion, and even used Dr. Monderewicz’s opinion to help craft Plaintiff’s RFC. Therefore, Plaintiff’s argument that the ALJ did not consider Dr. Monderewicz opinion is not supported by the record and therefore lacks merit.
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Law changed since Same change as noted above.

Section 404.1527 gives a treating physician's opinion controlling weight when it is well-supported by medically acceptable clinical and laboratory diagnostic techniques and is not inconsistent with the other substantial evidence in the record.

Ramsey v. Commissioner of Social Security · filed 2021-06-28(c)

The opinion of a treating physician is entitled to controlling weight if it is “well-supported by medically acceptable clinical and laboratory diagnostic techniques and is not inconsistent with the other substantial evidence in [the] record.” 20 C.F.R. § 404.1527(c).
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Law changed since Same change as noted above.

Section 404.1527(c) directs the ALJ to weigh a medical opinion based on factors including the source’s examining and treating relationship, support for the opinion, consistency with the record, and medical specialty.

George v. Social Security Administration, Commissioner · filed 2021-07-14(c)

The weight afforded to a medical opinion regarding the nature and severity of a claimant’s impairments depends, among other things, upon the examining and treating relationship the medical source had with the claimant, the evidence the medical source presents to support the opinion, how consistent the opinion is with the record as a whole, and the specialty of the medical source. See 20 C.F.R. §§ 404.1527(c), 416.927(c).
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Law changed since Same change as noted above.

Section 404.1527 requires an ALJ to consider all medical opinions and apply its six-factor weighing analysis when a treating physician’s opinion is not given controlling weight, but the analysis is not required for a consultative examiner’s opinion.

Taylor v. Saul · filed 2021-07-15(c)

Where a treating physician’s medical opinion is not afforded controlling weight, the ALJ must consider all of the following six factors in deciding the weight to give any medical opinion: (1) the examining relationship, (2) the nature, extent, frequency, and length of treatment relationship, (3) the supportability of the physician’s opinion, (4) the consistency of the opinion with the record as a whole, (5) whether the physician is a specialist, and (6) other factors which tend to support or contradict the medical opinion. 20 C.F.R. §§ 404.1527(c). ... However, Dr. Bolz is not a treating physician; he is a physical consultative examiner. ... Because Plaintiff has records from various treating physicians (such as exhibits 1F, 11F, 12F, 14F, 15F, 19F, 20F, and 21F) there is no need to give “controlling weight” to the opinions of consultative examiners or utilize the six-factor analysis.
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Law changed since Same change as noted above.

Section 404.1527(c) requires an ALJ to evaluate a medical opinion and explain the reasons for the weight assigned, while a non-treating physician’s opinion is not entitled to controlling weight.

Jones v. Commissioner of the Social Security Administration · filed 2021-08-30(c)

An ALJ’s determination as to the weight to be assigned to a medical opinion generally will not be disturbed absent some indication that the ALJ has dredged up “specious inconsistencies,” Scivally v. Sullivan, 966 F.2d 1070, 1077 (7th Cir. 1992), or has failed to give a sufficient reason for the weight afforded a particular opinion, see 20 C.F.R. §§ 404.1527(c), 416.927(c). While the ALJ was required to evaluate the opinion, because Dr. Shrouder was not Plaintiff’s treating physician, his opinion was not entitled to controlling weight. Id. Here, the ALJ provided specific reasons for the weight given to Dr. Shrouder’s opinion. Furthermore, the ALJ followed the applicable regulations regarding how much weight she could give the opinion because Dr. Shrouder was not Plaintiff’s treating physician. Tr. 22.
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Law changed since Same change as noted above.

Section 404.1527 gives more weight to a medical opinion supported by relevant evidence and consistent with the record as a whole.

Calloway v. Social Security Administration, Commissioner · filed 2021-09-07(c)(3), (c)(4)

The ALJ found the consultative evaluation “very persuasive” because the evidence as a whole supported its conclusions. R. 29; see also 20 C.F.R. § 404.1527(c)(3) (noting that more weight will be given to a medical opinion in which the medical source presents relevant evidence to support that opinion); 20 C.F.R. § 404.1527(c)(4) (“Generally, the more consistent a medical opinion is with the record as a whole, the more weight we will give to that medical opinion.”).
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Law changed since Same change as noted above.

Section 404.1527(c)(3) directs an ALJ to give more weight to a medical opinion when the source provides a better explanation for it.

Rutledge v. Social Security Administration, Commissioner · filed 2021-09-08(c)(3)

The ALJ also properly considered the “somewhat vague and unspecified nature” of Dr. Oguntuyo’s opinion (Tr. 33), as the regulations direct the Commissioner to afford more weight to properly explained medical opinions. 20 C.F.R. §§ 404.1527(c)(3), 416.927(c)(3) (“The better an explanation a source provides for a medical opinion, the more weight we will give that medical opinion.”).
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For claims filed before March 27, 2017, § 404.1527 governs how an ALJ weighs medical opinions: every opinion must be evaluated, treating-source opinions are considered first for controlling weight, and if controlling weight is denied, the ALJ must consider the factors in paragraphs (c)(1)-(6).

Wilson v. Commissioner of Social Security · filed 2021-09-21(c)

As Plaintiff filed his application prior to March 27, 2017, the rules in 20 C.F.R. § 404.1527 apply to the ALJ’s assignment of weight to the medical opinions in the record. The regulations require Administrative Law Judges to evaluate every medical opinion in the record. 20 C.F.R. § 404.1527(c). The process of assigning weight to medical opinions in the record begins with a determination whether to assign controlling weight to the medical opinion of the treating source. 20 C.F.R. § 404.1527(c). If controlling weight is not assigned to the treating source’s opinion, the Administrative Law Judge must consider the factors in paragraphs (c)(1)-(6) of this section in deciding how much weight to accord each of the medical opinions in the record, including the medical opinion from the treating source. 20 C.F.R. § 404.1527(c).
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For claims filed before March 27, 2017, an ALJ evaluating medical opinions under § 404.1527 must first determine whether a treating source's opinion receives controlling weight and, if not, must consider the factors in paragraphs (c)(1)-(6) when assigning weight.

Patton v. Commissioner of Social Security · filed 2021-10-01(c)

As Plaintiff filed her applications prior to March 27, 2017, the rules in 20 C.F.R. §§ 404.1527 and 416.927 apply to the ALJ’s assignment of weight to the medical opinions in the record. The process of assigning weight to medical opinions in the record begins with a determination whether to assign controlling weight to the medical opinion of the treating source. 20 C.F.R. §§ 404.1527(c), 416.927(c). If controlling weight is not assigned to the treating source’s opinion, the Administrative Law Judge must consider the factors in paragraphs (c)(1)-(6) of this section in deciding how much weight to accord each of the medical opinions in the record, including the medical opinion from the treating source. 20 C.F.R. §§ 404.1527(c), 416.927(c). ... The ALJ’s explanation for discounting the opinions expressed by Dr. Mayron are supported by substantial evidence in the record and comport with applicable law. See 20 C.F.R. §§ 404.1527(c), 416.927(c); Gayheart v. Comm’r of Soc. Sec., 710 F.3d 365, 375-76 (6th Cir. 2013).
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Law changed since Same change as noted above.

Section 404.1527(d)(3) directs that the weight given to a non-examining physician’s testimony depends on the degree to which the physician supports the opinion with explanations.

Gerrity v. Commissioner of Social Security · filed 2021-10-19(d)(3)

“The weight afforded a non-examining physician’s testimony depends ‘on the degree to which they provide supporting explanations for their opinions.’” Ryan v. Comm’r of Social Sec., 528 F.3d 1194, 1201-02 (9th Cir. 2008) (quoting 20 C.F.R. § 404.1527(d)(3)).
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Law changed since Same change as noted above.

Section 404.1527(c)(1)-(6) identifies the treatment relationship, supporting evidence, consistency with the record, and source specialization as factors in weighing a medical opinion.

Ham v. Commissioner of Social Security · filed 2021-10-28(c)(1)-(6)

The relevant factors considered in determining what weight to afford an opinion include the length, nature and extent of the treatment relationship, relevant evidence which supports the opinion, the consistency of the opinion with the record as a whole, and the specialization (if any) of the opinion’s source. 20 C.F.R. §§ 404.1527(c)(1)-(6), 416.927(c)(1)-(6)2. ... Overall, the ALJ properly assessed Dr. Liu’s 2019 opinion and substantial evidence supported the ALJ’s weight determination.
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Law changed since Same change as noted above.

Section 404.1527 provides that opinions from non-treating or non-examining sources usually are not entitled to controlling weight and directs an ALJ to consider factors including supportability, consistency, and specialization.

Cotton v. Commissioner of Social Security · filed 2021-11-24(c)(2)

When opinions come from a non-treating but examining source, like Dr. Miller, or from non-examining sources, like the state agency reviewing psychologists, they are usually not entitled to controlling weight. See id. (citing 20 C.F.R. § 404.1527(c)(2)). Instead, an ALJ should consider relevant factors, including supportability, consistency, and specialization. Id.
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Law changed since Same change as noted above.

Section 404.1527 requires an ALJ to evaluate opinions from non-acceptable medical sources using the listed factors, permits such an opinion to outweigh an acceptable source’s opinion, and requires consideration of functional limitations even when a source’s ultimate disability conclusion is reserved to the Commissioner.

Bishton v. Commissioner of Social Security · filed 2021-11-29(c), (d), (f)(1)

However, an ALJ considers opinions from “medical sources” who are not “acceptable medical sources” using the same factors in § 404.1527(c)(1)–(6) that apply to “medical opinions.” 20 C.F.R. § 404.1527(f)(1); ... The factors are (1) the examining relationship; (2) the treatment relationship, including the length of the treatment relationship, the frequency of examination, and the nature and extent of the treatment relationship; (3) the supportability of the opinion; (4) the consistency of the opinion with the record as a whole; (5) the provider’s specialization, if any; and (6) other factors brought to the ALJ’s attention. 20 C.F.R. § 404.1527(c). In fact, the regulations recognize that in considering these factors, “[d]epending on the particular facts in a case . . . an opinion from a medical source who is not an acceptable medical source . . . may outweigh the medical opinion of an acceptable medical source, including the medical opinion of a treating source.” Id. § 404.1527(f)(1). ... However, this is not an instance where the entirety of Mr. Lewis’ opinion is a statement on the ultimate issue of the ability to work. The ALJ must still consider the functional limitations and explanations contained in the opinion. See Bjornson v. Astrue, 671 F.3d 640, 647 (7th Cir. 2012) (explaining that, even though a statement on the ultimate issue will not dictate a finding of disability, the statement must still be considered).
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Law changed since Same change as noted above.

Section 404.1527(c) does not make a claimant’s failure to pursue treatment directly relevant to the weight assigned to a medical provider’s opinion.

Juarez v. Kijakazi · filed 2021-12-29(c)

For the purposes of the remand, the Court notes that the fact that a claimant fails to pursue treatment is not directly relevant to the weight of a medical provider’s opinion. See 20 C.F.R. §§ 404.1527(c), 416.927(c).
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Law changed since Same change as noted above.

Section 404.1527 requires an ALJ to consider specified factors when weighing a medical opinion, including a treating physician’s opinion, and the court treated failure to do so as reversible error.

Meixner v. Commissioner of Social Security Administration · filed 2022-03-08(c)(2)-(6)

If the ALJ gives a treating physician's opinion less than controlling weight, the ALJ must comply with two requirements. First, the ALJ must consider all of the following factors in deciding the weight to give any medical opinion: (1) length and frequency of the examining relationship; (2) nature and extent of the treatment relationship; (3) supportability and whether the medical opinion includes supporting explanations and relevant evidence such as laboratory findings; (4) consistency with the record as a whole; (5) physician specialization and; (6) other factors. See 20 C.F.R. § 404.1527(c)(2)-(6). The failure to consider these factors constitutes reversible error.
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Law changed since Same change as noted above.

Section 404.1527(c)(1)–(6) requires an ALJ who does not give a medical opinion controlling weight to consider factors such as the treatment relationship, supportability, consistency, and the source’s specialization when deciding the opinion’s weight.

Nelson v. Commissioner of Social Security · filed 2022-03-17(c)(1)–(6)

When the opinion is not given controlling weight, the ALJ will address factors including the length of the treatment relationship and the frequency of examination, the nature and extent of the treatment relationship, the supportability of the opinion, the consistency of the opinion, whether the treating source is a specialist in the area, and any other relevant factors in determining the weight to give the medical opinion.
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For applications filed before March 27, 2017, Section 404.1527(c)(2) generally gives treating-source opinions greater weight and controlling weight when they are well supported and not inconsistent with other substantial evidence; opinions not given controlling weight are evaluated using the regulation’s listed factors.

(SS) Simmons, Jr. v. Commissioner of Social Security · filed 2022-04-18(c)(2)

For applications filed before March 27, 2017, the regulations provide that more weight is generally given to the opinion of treating physicians, which are given controlling weight when well supported by clinical evidence and not inconsistent with other substantial evidence. ... Regardless of source, all medical opinions that are not given controlling weight are evaluated using the following factors: examining relationship, treatment relationship, supportability, consistency, and specialization. 20 C.F.R. § 404.1527(c). ... Although Plaintiff provided no analysis of the ALJ’s pertinent discussion, the Court has independently reviewed the same and finds that the ALJ provided a detailed and thoroughly reasoned explanation for rejecting Plaintiff’s physician’s opinion concerning leg elevation and for rejecting Plaintiff’s testimony concerning the same.
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Law changed since Same change as noted above.

Section 404.1527(c)(5) generally gives more weight to a specialist's opinion about medical issues related to the specialist's area of specialty than to a nonspecialist's opinion.

Thielen v. Commissioner of Social Security · filed 2022-04-01(c)(5)

The ALJ could discount this portion of the opinion regarding plaintiff’s physical limitations. See 20 C.F.R. § 404.1527(c)(5) (“We generally give more weight to the opinion of a specialist about medical issues related to his or her area of specialty than to the opinion of a source who is not a specialist.”).
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Law changed since Same change as noted above.

Section 404.1527 establishes a hierarchy among medical opinions as a framework for determining the weight given to each opinion.

Hatley v. Commissioner of Social Security · filed 2022-05-23

The Regulations establish a hierarchy among medical opinions that provides a framework for determining the weight afforded each medical opinion.
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Law changed since Same change as noted above.

Section 404.1527(d)(1)-(3) provides the framework for weighing treating, examining, and non-examining medical opinions, and a contradicted treating or examining opinion may be rejected only for specific and legitimate reasons supported by substantial evidence.

(SS) Vue v. Commissioner of Social Security · filed 2022-05-31(d)(1)-(3)

If a treating or examining doctor’s opinion is contradicted by another doctor’s opinion, an ALJ may only reject it by providing specific and legitimate reasons that are supported by substantial evidence. Garrison, 759 F.3d at 1012 (citing 20 C.F.R. § 404.1527(d)(3)).
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Law changed since Same change as noted above.

Section 404.1527 directs an ALJ to give greater weight to medical opinions that are consistent with the record and that come from sources with longer, more frequent treatment relationships.

Rosa v. Commissioner of Social Security · filed 2022-06-23(c)(4)

Dominguez’s assessment was also inconsistent with treatment notes indicating that plaintiff’s depressive disorder was “mild.” AR 29, 340; see also 20 C.F.R. § 404.1527(c)(4) (instructing an ALJ that the weight given to a medical opinion generally depends upon its consistency with the record as a whole). ... Indeed, Dominguez only evaluated plaintiff once, in November 2017, and did not have an ongoing treatment relationship with plaintiff. See 20 C.F.R. § 404.1527 (2015) (“Generally, the longer a treating source has treated you and the more times you have been seen by a treating source, the more weight we will give to the source’s medical opinion.”).
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For claims filed before March 27, 2017, § 404.1527 requires an ALJ to weigh physician opinions according to the treatment relationship, generally giving more weight to treating than non-treating opinions and the least to non-examining opinions, and to use the applicable heightened reasons when rejecting them.

(SS) Heilman v. Commissioner of Social Security · filed 2022-08-01(c)

For all claims, as here, filed before March 27, 2017, ALJs are bound by regulations and case law requiring ALJs to give physicians’ opinions different weights, depending on the relationship between the physician and the claimant. See 20 C.F.R §§ 404.1527(c) & 416.920(c); Garrison v. Colvin, 759 F.3d 995, 1017-18 (9th Cir. 2014). This rule is known as the treating physician rule. The weight given to medical opinions depends in part on whether they are proffered by treating, examining, or non-examining professionals. See Lester v. Chater, 81 F.3d 821, 830-31 (9th Cir. 1995). Ordinarily, more weight is given to the opinion of a treating professional, who has a greater opportunity to know and observe the patient as an individual, than the opinion of a non-treating professional. See id.; Smolen v. Chater, 80 F.3d 1273, 1285 (9th Cir. 1996); Winans v. Bowen, 853 F.2d 643, 647 (9th Cir. 1987). The least weight is given to the opinion of a non-examining professional. See Pitzer v. Sullivan, 908 F.2d 502, 506 & n.4 (9th Cir. 1990). In addition to considering its source, to evaluate whether the Commissioner properly rejected a medical opinion in a claim filed before March 27, 2017, the Court considers whether: (1) contradictory opinions are in the record; and (2) clinical findings support the opinions. The Commissioner may reject an uncontradicted opinion of a treating or examining medical professional only for “clear and convincing” reasons supported by substantial evidence in the record. See Lester, 81 F.3d at 831. While a treating professional’s opinion generally is accorded superior weight, if it is contradicted by an examining professional’s opinion which is supported by different independent clinical findings, the Commissioner may resolve the conflict. See Andrews v. Shalala, 53 F.3d 1035, 1041 (9th Cir. 1995). A contradicted opinion of a treating or examining professional may be rejected only for “specific and legitimate” reasons supported by substantial evidence. See Lester, 81 F.3d at 830. This test is met if the Commissioner sets out a detailed and thorough summary of the facts and conflicting clinical evidence, states her interpretation of the evidence, and makes a finding. See Magallanes v. Bowen, 881 F.2d 747, 751-55 (9th Cir. 1989). Absent specific and legitimate reasons, the Commissioner must defer to the opinion of a treating or examining professional. See Lester, 81 F.3d at 830-31.
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Law changed since Same change as noted above.

Section 404.1527(c)(3) directs the Commissioner to give greater weight to a medical opinion when the medical source supports it with relevant evidence, particularly medical signs and laboratory findings.

Kidd v. Commissioner, SSA · filed 2022-08-02(c)(3)

“Supportability,” a factor used to evaluate medical opinions, means “[t]he more a medical source presents relevant evidence to support a medical opinion, particularly medical signs and laboratory findings, the more weight [the Commissioner] will give that medical opinion.” § 404.1527(c)(3).
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For disability claims filed before March 27, 2017, § 404.1527(c) requires administrative law judges to weigh medical opinions according to the physician's relationship with the claimant, generally giving treating physicians more weight and non-examining physicians the least.

(SS) Rudolph v. Commissioner of Social Security · filed 2022-08-03(c)

For all claims, as here, filed before March 27, 2017, ALJs are bound by regulations and case law requiring ALJs to give physicians’ opinions different weights, depending on the relationship between the physician and the claimant. See 20 C.F.R §§ 404.1527(c) & 416.920(c); Garrison v. Colvin, 759 F.3d 995, 1017-18 (9th Cir. 2014). This rule is known as the treating physician rule. The weight given to medical opinions depends in part on whether they are proffered by treating, examining, or non-examining professionals. See Lester v. Chater, 81 F.3d 821, 830-31 (9th Cir. 1995). Ordinarily, more weight is given to the opinion of a treating professional, who has a greater opportunity to know and observe the patient as an individual, than the opinion of a non-treating professional. See id.; Smolen v. Chater, 80 F.3d 1273, 1285 (9th Cir. 1996); Winans v. Bowen, 853 F.2d 643, 647 (9th Cir. 1987). The least weight is given to the opinion of a non-examining professional. See Pitzer v. Sullivan, 908 F.2d 502, 506 & n.4 (9th Cir. 1990).
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Law changed since Same change as noted above.

Section 404.1527 requires an ALJ to give specific, reviewable reasons for the weight assigned to a medical opinion.

Rios v. Social Security Administration · filed 2022-08-16(d)(2)

The ALJ must provide good reasons for the weight he ultimately assigns the opinion.
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Law changed since Same change as noted above.

Section 404.1527 places treating-source opinions above examining-source opinions, and examining-source opinions above non-examining-source opinions, in the weight assigned to medical opinions.

(SS) Stockdale v. Commissioner of Social Security · filed 2022-08-26(a)(2), (c)(1)

At the top, the opinions of those who treat the claimant and have an ongoing relationship with her (treating physicians) are entitled to “substantial weight.” Id. (quotation omitted); see 20 C.F.R. § 404.1527(a)(2). In the middle tier, those who examine but do not treat the claimant and do not have an ongoing relationship with her (examining physicians) are entitled to less weight than a treating physician but more weight than a non-examining physician. Id. (citing 20 C.F.R. § 404.1527(c)(1). “To reject either a treating or an examining physician’s opinion, an ALJ must provide ‘clear and convincing reasons,’ if the opinion is uncontradicted by other evidence, or ‘specific and legitimate reasons’ otherwise, and the reasons must be supported by substantial evidence.”
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Law changed since Same change as noted above.

Section 404.1527(c) permits an ALJ to give a medical opinion less or no weight when it lacks relevant evidence or sufficient supporting explanation, or conflicts with the record as a whole.

Kramer v. Saul · filed 2022-08-29(c)

Further, an ALJ may give an opinion less weight or no weight if it does not present relevant evidence or a sufficient explanation to support it, or if it is inconsistent with the record as a whole.
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Law changed since Same change as noted above.

Section 404.1527(c) directs adjudicators to weigh medical opinions using factors including supportability, consistency, and the treating or examining relationship.

Morgan v. Commissioner of Social Security Administration · filed 2022-09-22(c)

Dr. Amado’s opinion lacks a thorough explanation, relies only on Morgan’s medical records, and conflicts with the opinion of providers who treated or examined Morgan personally. See 20 C.F.R. § 404.1527(c) (factors to consider when deciding the weight to give a medical opinion include supportability, consistency, and whether the opinion arose from a treating or examining relationship).
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Law changed since Same change as noted above.

Section 404.1527 requires medical opinions to be weighed based on the treatment or examining relationship, supporting evidence, consistency with the record, and the source's specialty, generally giving greater weight to treating sources than to non-treating or non-examining sources.

Hope v. Social Security Administration, Commissioner · filed 2022-09-27(c)

The weight afforded to a medical opinion regarding the nature and severity of a claimant’s impairments depends upon the examining and treating relationship the medical source had with the claimant, the evidence the medical source presents to support the opinion, whether the opinion is consistent with the record as a whole, and the specialty of the medical source. See 20 C.F.R. § 404.1527(c). The regulations and case law establish a general preference for assigning greater weight to the opinions of treating medical sources than the opinions of non-treating medical sources, and greater weight to the opinions of non-treating medical sources than the opinions of non-examining medical sources. See 20 C.F.R. §§ 404.1527(c)(1)-(2); Ryan v. Heckler, 762 F.2d 939, 942 (11th Cir. 1985).
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Law changed since Same change as noted above.

Section 404.1527(c) gives controlling weight to a treating physician’s well-supported opinion when it is not inconsistent with other substantial record evidence; otherwise, the opinion is weighed using the treatment relationship, supportability, consistency, and specialization factors.

Rodriguez v. Kijakazi · filed 2023-04-06(c)(2)-(6)

The medical opinion of a claimant’s treating physician is given “controlling weight” as long as 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.” 20 C.F.R. § 404.1527(c)(2); Trevizo v. Berryhill, 871 F.3d 664, 675 (9th Cir. 2017). When a treating physician’s opinion is not controlling, it is weighted according to factors such as the length of the treatment relationship and the frequency of examination, the nature and extent of the treatment relationship, supportability, consistency with the record, and specialization of the physician. § 404.1527(c)(2)-(6); Id. ... Given that both evaluators relied on their observations and diagnostic tools in evaluating Plaintiff and making their conclusions and their results were consistent indicates the ALJ should have given more weight to their opinions rather than less. The ALJ incorrectly assumed that these evaluators were only relying on Plaintiff’s self-reports in coming to their conclusions. Rather, the record demonstrates that both evaluators observed and tested Plaintiff and came to similar conclusions. ... Thus, rather than be inconsistent with the longitudinal record, Dr. Marks’ evaluation is consistent with most of the records indicating that Plaintiff suffers from chronic depression and anxiety that prevents him from being able to work full-time. As such, substantial evidence does not support the ALJ’s evaluation of Dr. Marks’ testimony.
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Law changed since Same change as noted above.

Section 404.1527(c)(3) makes the weight given to a nonexamining source depend on how well the source explains the opinion, and permits that opinion to outweigh an examining physician’s opinion when supported by the record.

Brink v. Commissioner of Social Security · filed 2023-05-12(c)(3)

An ALJ is permitted to consider the opinion of non-examining sources, but the regulations caution that “because nonexamining sources have no examining or treating relationship with [claimant], the weight we will give their opinions will depend on the degree to which they provide supporting explanations for their opinions.” 20 C.F.R. § 404.1527(c)(3). ... Notwithstanding the general rule, the opinion of a non-examining source may be credited over that of an examining physician provided the opinion of the non-examining source is supported by the evidence in the record. Id. ... As such, Dr. Kwock’s opinion is supported by the evidence in the record. See D'augustino, 2016 WL 5081321, at *2. ... Accordingly, this Court concludes that the “internal inconsistencies” underscored by the ALJ in her reasoning constitutes an adequate explanation for assigning greater weight to Dr. Kwock’s opinion, a non-examining medical source, in comparison to Dr. Lee’s opinion, the consultative examiner. Tr. 2061.
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Law changed since Same change as noted above.

Section 404.1527 permits an ALJ to discount a medical opinion after considering its supportability and consistency with the physician’s own findings, the claimant’s reported activities, and other relevant evidence.

FETHERMAN v. COMMISSIONER OF SOCIAL SECURITY · filed 2023-06-05(c)(3), (4), (6)

As detailed above, in discounting Dr. Jasper’s opinion (including limitations in sitting and standing to 20 minutes at a time), the ALJ expressly considered the supportability and the consistency of Dr. Jasper’s opinion with other evidence, including that physician’s own findings and Plaintiff’s reported daily activities. Id. The Court finds no error with the ALJ’s consideration in this regard.
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Law changed since Same change as noted above.

Section 404.1527(d) is not violated by a supposed failure to assign weight to medical opinions when the claimant identifies no unweighed opinion and the ALJ’s decision shows that it assigned weight.

Scharbrough v. Commissioner, Social Security · filed 2023-06-09(d)

Plaintiff also appears to argue that the ALJ erred by giving “no clear weight” to medical opinions other than VA opinions, in violation of 20 C.F.R. § 404.1527(d). ECF 9, at 22, 34. But Plaintiff does not identify which opinions were not weighed and, in any event, the ALJ’s decision contradicts this argument. See Tr. 1102 (“I give no weight to the December 2014 letter from the claimant’s treating internist”).
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For pre-March 27, 2017 claims, § 404.1527 requires controlling weight for a well-supported, record-consistent treating-source medical opinion, good reasons for discounting it, and an explanation of the weight given to non-acceptable medical sources sufficient to permit review of the adjudicator’s reasoning.

Goris v. Commissioner of Social Security · filed 2023-07-14(c)(2), (f)

For claims that – like the Plaintiff's – were filed before March 27, 2017, ALJs were required to follow the treating physician rule set forth in 20 C.F.R. §§ 404.1527 and 416.927. Under that rule, SSA claim adjudicators were instructed to afford “controlling weight” to a “medical opinion” from a “treating source” “on the issue(s) of the nature and severity of [a claimant's] impairments,” provided that the opinion “is well-supported by medically acceptable clinical and laboratory diagnostic techniques and is not inconsistent with the other substantial evidence in [the] case record.” 20 C.F.R. § 404.1527(c)(2). If the ALJ afforded less-than-controlling weight to a “medical opinion” from a “treating source,” he was required to explain his reasons for doing so in his written decision. ... The regulations provided that, when the record contained “[o]pinions from medical sources who are not acceptable medical sources,” “[t]he adjudicator generally should explain the weight given to [these] opinions.” 20 C.F.R. §§ 404.1527(f), 416.927(f). ... To the contrary, when assigning weight to “[o]pinions from medical sources who are not acceptable medical sources,” the ALJ was required only to “ensure that the discussion of the evidence in the determination or decision allows a claimant or subsequent reviewer to follow the adjudicator's reasoning.” Id.
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Law changed since Same change as noted above.

Section 404.1527(c) requires an ALJ to weigh medical opinion evidence based on factors including the source’s relationship with the claimant, supportability, and consistency with the record.

Mendez v. Social Security Administration · filed 2023-09-07(c)

This includes opinion evidence, which the ALJ must weigh according to, among other things, the relationship between the claimant and the medical expert, how well the opinion is supported, and its consistency with the record. Id. at § 404.1527(c). ... ALJ Gontis contrasted Dr. Butler’s opinions with other evidence and found that they were inconsistent with and unsupported by the record as a whole. Id. ALJ Gontis thus gave the opinions little weight and supported that finding with substantial evidence.
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Law changed since Same change as noted above.

Section 404.1527(c)(3) generally gives more weight to a medical opinion when the source supports it with a better explanation.

Giron v. Kijakazi · filed 2023-09-19(c)(3)

Under the Regulations, a better explained medical opinion, as a general matter, is given more weight. ... Because Dr. Blumenthal’s opinions provided minimal, if any, explanation in support, the ALJ appropriately discounted those opinions.
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For claims filed before March 27, 2017, § 404.1527 requires an ALJ to consider the treating relationship when weighing medical opinions but permits the ALJ to credit a conflicting non-treating or non-examining opinion.

OWENS v. KIJAKAZI · filed 2023-09-27(c)

Because Plaintiff’s claim was filed before March 27, 2017, the ALJ properly applied 20 C.F.R. § 404.1527 in evaluating the opinion evidence. ... Under Section 404.1527, while an ALJ is required to consider the treating relationship between a claimant and an opining doctor, when the medical opinion of a treating source conflicts with that of a non-treating, or even a non-examining physician, “the ALJ may choose whom to credit.” Morales v. Apfel, 225 F.3d 310, 317 (3d Cir. 2000). ... Neither Dr. Mills nor Dr. Dongiovanni qualify as a treating physician in any event, so it was no error for the ALJ to give more weight to the state reviewing agents’ opinions.
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For claims filed before March 27, 2017, § 404.1527 requires medical opinions to be weighed based on the examining and treating relationship, evidentiary support, consistency with the record, and the physician’s specialization; a treating physician’s opinion need not receive considerable weight when good cause supports discounting it.

Todd v. Kijakazi · filed 2023-10-04(c)

“When weighing each medical opinion, the ALJ must consider whether the doctor has examined the claimant; ... the doctor’s relationship with the claimant; the medical evidence supporting the doctor’s opinion; how consistent the doctor’s opinion is with the record as a whole; and the doctor’s specialization.” ... Although the opinions of treating physicians are generally entitled to substantial or considerable weight, the ALJ is not required to give a treating physician’s opinion considerable weight if good cause is shown to the contrary. ... Based on its review of the ALJ’s decision and the record, the Court finds that the ALJ properly applied the appropriate standard in evaluating the weight to be accorded these medical opinions.
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For claims filed before March 27, 2017, Section 404.1527(c) requires an ALJ weighing medical opinions to consider all relevant regulatory factors, and failure to do so is reversible legal error.

Tsonis v. O'Malley · filed 2023-10-10(c)

Although the ALJ considered the supportability and consistency of the April and August 2015 opinions, the ALJ did not consider the other relevant factors such as the length of Dr. Smith’s and LPC Caffrey’s treating relationship with Plaintiff, the frequency of examinations, or the nature and extent of their treatment relationship with Plaintiff, as is required by the SSA regulations prior to March 27, 2017. ... This failure alone constitutes reversible legal error.
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Law changed since Same change as noted above.

Section 404.1527(c)(3) gives more weight to a medical opinion when the source provides relevant supporting evidence, especially medical signs and laboratory findings, and a better explanation.

Rogers v. Commissioner of Social Security Administration · filed 2023-10-31(c)(3)

Under the regulations, “[t]he more a medical source presents relevant evidence to support a medical opinion, particularly medical signs and laboratory findings, the more weight [the ALJ] will give that medical opinion. The better an explanation a source provides for a medical opinion, the more weight [the ALJ] will give that medical opinion.” 20 C.F.R. § 404.1527(c)(3). The ALJ’s decision to give little weight to Dr. Qureshi’s opinion does not assume that Plaintiff’s treatment completely resolves her symptoms. Instead, the ALJ assigned the opinion “little weight” because she found that the Dr. Qureshi and the evidence do not support his opinion.
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For claims filed before March 27, 2017, § 404.1527 requires an ALJ to articulate the weight given to medical opinions and the reasons for that weight, although failure to assign an explicit weight is harmless when the decision sufficiently reflects the weight and the error does not affect the outcome.

Gober v. Social Security Administration, Commissioner · filed 2023-11-06(c)

For claims filed before March 27, 2017, the rules set forth in 20 C.F.R. § 404.1527 apply, which require the ALJ to articulate the weight given to different medical opinions in the record and the reasons therefore. ... Though the ALJ described Dr. Whiten’s opinions as “not persuasive,” rather than assigning a particular weight, these statements were reflective of the weight given and thus are sufficient.
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Law changed since Same change as noted above.

Section 404.1527(d)(2) gives a medical source’s opinion controlling weight only when it is well supported by acceptable clinical and laboratory diagnostic techniques and is not inconsistent with other substantial record evidence.

Royalty v. SSA · filed 2023-12-27(d)(2)

Under 20 C.F.R. § 404.1527(d)(2), a medical source’s opinion on the issues of the nature and severity of a claimant’s impairments is given controlling weight only if it is “well-supported by medically acceptable clinical and laboratory diagnostic techniques” and is “not inconsistent with other substantial evidence in [the] case record.” ... The ALJ explained that the opinion is not well supported because it is inconsistent with the other evidence. ... Ultimately, the ALJ’s explanation is sufficiently detailed to enable Royalty to understand why Dr. Fishkoff’s medical opinion was granted little weight.
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For disability claims filed before March 27, 2017, § 404.1527 requires an ALJ to explain the weight given to a medical opinion and permits the opinion to be judged by its support in and consistency with the record.

Alexander v. O'Malley · filed 2024-02-14(c)(3), (c)(4), (e)(2)

The ALJ considered Washington’s opinion but found that the record evidence did not support Washington’s “restrictive limitations” and noted contrary evidence in the record—the opinions of other medical sources, other medical records that showed Alexander’s symptoms improved with physical therapy and surgery, and Alexander’s own acknowledgement of improvement in 2015. See 20 C.F.R. § 404.1527(e)(2) (ALJ must explain the weight afforded a medical opinion for disability claims filed before March 27, 2017). We are not persuaded by Alexander’s argument that the ALJ should have afforded more weight to Washington’s opinion as a treating source’s opinion because there is no evidence that Washington provided ongoing physical therapy treatment. See Smartt v. Kijakazi, 53 F.4th 489, 495 (9th Cir. 2022). Accordingly, based on the record, we conclude that the ALJ provided “specific and legitimate reasons” for discounting Washington’s opinion. See Ford v. Saul, 950 F.3d 1141, 1154 (9th Cir. 2020); 20 C.F.R. § 404.1527(c)(3), (4) (a medical opinion is judged by its support and consistency with the other record evidence).
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Law changed since Same change as noted above.

Section 404.1527(c) requires an ALJ weighing a medical opinion to consider the treatment relationship, supportability, consistency, specialization, and other supporting or contradicting factors, and permits discounting a nonexamining physician’s opinion when it conflicts with the claimant’s demonstrated work abilities.

Gageby v. Commissioner of Social Security · filed 2024-02-29(c)(1)-(6)

In determining the weight to be assigned to a medical opinion, the ALJ considers the following factors: length, nature, and extent of the treating relationship; supportability of the opinion; consistency of the opinion with other evidence in the record; the specialization of the source; and any other factors that support or contradict the opinion. 20 C.F.R. § 404.1527(c)(1)-(6). ... In summary, the ALJ reasonably concluded that Gageby’s ability to work in skilled employment for 8 years after her traumatic brain injury undermined Dr. Campion’s opinion that Gageby had moderate limitations with concentration, persistence, and pace, and undermined Dr. Campion’s opinion that Gageby was restricted to only routine, repetitive tasks. The reasons provided by the ALJ for discounting Dr. Campion’s opinions were specific and legitimate.
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Law changed since Same change as noted above.

Section 404.1527(c) requires an ALJ to evaluate every medical opinion regardless of its source, while treating-source opinions generally receive more weight under subsection (c)(2).

Ritchie v. Commissioner of Social Security · filed 2024-03-05(c)

ALJs generally give more weight to medical opinions from treating sources, 20 C.F.R. § 404.1527(c)(2), but must evaluate every medical opinion they receive regardless of its source, 20 C.F.R. § 404.1527(c). ... On this record, the court finds no issues with the “some weight” given to the state agency decisions.
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Law changed since Same change as noted above.

Section 404.1527 permits an ALJ to give a medical opinion little weight when it is internally inconsistent and conflicts with the overall medical evidence, including sparse objective findings and limited treatment.

Lopez v. O'Malley · filed 2024-03-13(c)

The ALJ cited the following reasons for assigning little weight to Dr. Barua’s opinion: ... These were sufficient reasons supported by substantial evidence in the record for finding Dr. Barua’s opinion was entitled to little weight. See 20 C.F.R. §§ 404.1527, 416.927; Newbold v. Colvin, 718 F.3d 1257, 1266 (10th Cir. 2013) (affirming the ALJ’s decision discounting the treating physician’s opinion where the doctor’s treatment note from the same day was inconsistent with the doctor’s opinion); Raymond v. Astrue, 621 F.3d 1269, 1272 (10th Cir. 2009) (ALJ reasonably discounted treating physician opinion which was inconsistent with other medical evidence).
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For claims filed before March 27, 2017, § 404.1527(f)(2) requires an ALJ who does not give a treating source’s medical opinion controlling weight to consider and weigh all medical opinions under six specified factors, although a clear rationale need not discuss each factor individually.

Soto-Quinones v. Commissioner of Social Security · filed 2024-03-28(f)(2)

For claims filed before March 27, 2017, the SSA regulations provide that, unless the ALJ affords controlling weight to a treating source’s medical opinion, the ALJ is required to consider and weigh all medical opinions of record, whether those opinions are from acceptable medical sources, other medical sources, or non-medical sources, with consideration of the following factors for determining the appropriate weight to afford such opinions: (1) the frequency of examination; (2) the length, nature and extent of the treatment relationship; (3) the evidence in support of the medical opinion; (4) the consistency of the opinion with the record as a whole; (5) whether the opinion is from a specialist; and (6) other factors brought to the SSA’s attention that tend to support or contradict the opinion. Saxon v. Astrue, 781 F. Supp.2d 92, 103-04 (N.D.N.Y. 2011); see 20 C.F.R. § 404.1527(f)(2). So long as the ALJ’s rationale is clear, however, the ALJ need not address each factor individually. See Atwater v. Astrue, 512 Fed. App’x 67, 70 (2d Cir. 2013). ... In the instant case, the ALJ provided sufficient explanation for his assessment of the various medical opinions within the record and his determination that plaintiff was capable of performing sedentary work with additional limitations is supported by substantial evidence.
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Law changed since Same change as noted above.

When weighing a medical opinion that is not entitled to controlling weight, an ALJ must consider the treatment relationship, evidentiary support, consistency with the record as a whole, and the physician's specialization; an unexplained rejection despite consistent record evidence can require remand.

Hogren v. Commissioner of Social Security · filed 2024-03-29(c)

In determining the weight of medical source opinions not entitled to controlling weight, an ALJ will evaluate the following factors: the length, nature, and extent of treatment relationship; evidence in support of the opinion; consistency with the record as a whole; and the physician’s specialization. 20 C.F.R. § 404.1527(c); see Ealy v. Comm’r of Soc. Sec., 594 F.3d 504, 514 (6th Cir. 2010). ... Furthermore, as noted by Plaintiff, there is relevant evidence in the record that is consistent with Dr. Thornton’s and Dr. Watt’s opinions. See 20 C.F.R. § 404.1527(c)(4) (“Generally, the more consistent an opinion is with the record as a whole, the more weight we will give to that opinion”). ... The ALJ's failure to provide such an explanation requires remand because it prevents this Court from conducting meaningful review to determine whether substantial evidence supports her decision.
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Law changed since Same change as noted above.

Section 404.1527(c)(3) requires an ALJ weighing a medical opinion to consider the extent to which the physician’s own findings support the opinion; an examining relationship is only one factor in determining weight.

LESSIG v. KIJAKAZI · filed 2024-04-12(c)(3)

Second, the existence of an examining relationship is only one of the considerations in determining the weight to be given to a medical opinion. 20 C.F.R. § 404.1527(c). The ALJ is also required to consider the extent to which the doctor’s opinions are supported by his or her own findings. Id. § 404.1527(c)(3). Here, the ALJ’s decision is based on the fact that Dr. Marmar’s conclusions were inconsistent with his observations on examination. I find that the ALJ’s consideration of Dr. Marmar’s opinion is supported by substantial evidence.
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For claims filed before March 27, 2017, § 404.1527(c)(1) gives an examining physician’s opinion more weight than a nonexamining physician’s opinion, so an ALJ may not discount an examining opinion merely because the physician examined the claimant only once.

Cano v. Commissioner of Social Security · filed 2024-05-23(c)(1)

Second, the ALJ’s reliance on Dr. Widlan’s role as a one-time examining physician, without more, is not a specific and legitimate reason for rejecting his opinion. For claims filed before March 27, 2017, like this case, each of the three types of medical opinions—treating, examining, and non-examining—is accorded different weight. 20 C.F.R. §§ 404.1527, 416.927. ... Additionally, the opinion of an examining physician is, in turn, entitled to greater weight than the opinion of a non-examining physician. ... Here, Dr. Widlan’s opinion was the only examining opinion considered by the ALJ, and it, therefore, required specific and legitimate reasons that went beyond Dr. Widlan’s simple role as an examining psychologist. ... This reason, therefore, fails as well.
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For claims filed before March 27, 2017, § 404.1527 requires an ALJ to evaluate and assign weight to a physician’s opinion about the nature and severity of a claimant’s impairments, including symptoms and diagnoses, even if the physician states no specific functional limitations.

Acevedo v. Commissioner of Social Security · filed 2024-08-26(a)(1)

The Regulations define medical opinions as, “statements from acceptable medical sources that reflect judgments about the nature and severity of your impairment(s), including your symptoms, diagnosis and prognosis, what you can still do despite impairment(s), and your physical or mental restrictions.” 20 C.F.R. § 404.1527(a)(1); see also Winschel, 631 F.3d at 1178-79. ... Under the Regulations and legal authority in effect at the time of the application, the ALJ was required to assign weight to Dr. Grant’s opinion.
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Law changed since Same change as noted above.

Section 404.1527(c) requires an ALJ to weigh medical opinions based on examining or treating relationships, supporting evidence, consistency with the record as a whole, and specialization.

King v. Social Security Administration, Commissioner · filed 2024-09-13(c)

Under 20 C.F.R. § 404.1527(b), an ALJ considers the medical opinions in the record together with the rest of the relevant evidence in determining whether the claimant is disabled. Id. When weighing medical opinions, the ALJ gives more weight to opinions from medical sources who have examined or treated a claimant, considering the length, nature, and extent of the treatment relationship. 20 C.F.R. § 404.1527(c)(1)–(2). Further, the ALJ gives medical opinions more weight when a medical source presents relevant evidence to support the opinion, when the medical opinion is consistent with the record as a whole, and when the medical source is a specialist. 20 C.F.R. § 404.1527(c)(3)–(5). ... In this case (as explained above), and pursuant to 20 C.F.R. § 404.1527(c), the ALJ found that “Dr. Blanton’s opinion that [King] is malingering is afforded great weight because it is consistent with [Dr. Blanton’s] own examination of [King] and consistent with the rest of the record including his work activity and reported activities of daily living which do not support [King’s] presentation at the consultative examination.”
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Law changed since Same change as noted above.

Section 404.1527(c)(3) gives greater weight to medical opinions that are better supported by evidence, particularly medical signs and laboratory findings.

McKean v. Commissioner of Social Security · filed 2024-09-26(c)(3)

The ALJ dutifully explained that she gave great weight to the less restrictive portions of Dr. Schwab’s opinion because they were supported by his largely normal examination findings. (Tr. 1998; see Tr. 3316-17). See 20 C.F.R. §§ 404.1527(c)(3), 416.927(c)(3) (“ ([t]he more a medical source presents evidence to support an opinion, particularly medical signs and laboratory findings, the more weight [the ALJ] will give that opinion”).
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Law changed since Same change as noted above.

Section 404.1527(d)(5) generally gives more weight to a specialist’s opinion on medical issues within the specialist’s field than to a nonspecialist’s opinion.

Glick v. Commissioner of Social Security · filed 2024-12-06(d)(5)

The ALJ was also permitted to discount Dr. Peterson’s opinion on Plaintiff’s physical impairments because it was outside his area of expertise as a psychologist. An ALJ may reject a doctor’s opinions when they are “on a matter not related to her or his area of specialization.” John D. v. Comm’r of Soc. Sec., No. C19-743 TLF, 2020 WL 5869065, at *2 (W.D. Wash. Oct. 1, 2020) (quoting Holohan v. Massanari, 246 F.3d 1195, 1202 n.2 (9th Cir. 2001)); see 20 C.F.R. § 404.1527(d)(5) (“We generally give more weight to the opinion of a specialist about medical issues related to his or her area of specialty than to the opinion of a source who is not a specialist.”). The Court finds no error.
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Law changed since Same change as noted above.

Section 404.1527(c) generally gives more weight to an examining source, while the weight assigned to a non-examining source depends on its supporting explanations and consistency with the record as a whole.

Shannon Montgomery v. Martin O'Malley · filed 2024-12-13(c)(1), (c)(3), (c)(4)

Though generally, more weight is given to the medical opinion of an examining source than a non-examining source, 20 C.F.R. § 404.1527(c)(1), “[t]he more a medical source presents relevant evidence to support a medical opinion, particularly medical signs and laboratory findings, the more weight [the SSA] will give that medical opinion,” id. § 404.1527(c)(3). Thus, “because [non-examining] sources have no examining or treating relationship with [the claimant], the weight [the SSA] will give their medical opinions will depend on the degree to which they provide supporting explanations for their medical opinions.” Id. § 404.1527(c)(3). Further, “the more consistent a medical opinion is with the record as a whole, the more weight [the SSA] will give to that medical opinion.” Id. § 404.1527(c)(4).
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Section 404.1527(c) requires medical opinions in claims filed before March 27, 2017 to be weighed using factors including the examining and treatment relationship, supporting evidence, consistency with the record, and specialization, and permits a treating psychiatrist’s opinion to receive no weight when it lacks support and conflicts with the treatment notes.

Ford v. Commissioner for Social Security · filed 2024-12-23(c)

For disability cases filed before March 27, 2017 – such as this one – at step four, an ALJ must properly consider treating physicians, examining physicians, non-examining physician, and other source opinions, and weigh these opinions and findings as an integral part of the ALJ’s RFC determination. ... “The ALJ is to consider a number of factors in determining how much weight to give to each medical opinion: (1) whether the doctor has examined the claimant; (2) the length, nature, and extent of a treating doctor’s relationship with the claimant; (3) the medical evidence and explanation supporting the doctor’s opinion; (4) how consistent the doctor’s ‘opinion is with the record as a whole’; and (5) the doctor’s specialization.” Forsyth v. Comm’r of Soc. Sec., 503 F. App’x 892, 893 (11th Cir. 2013) (citing 20 C.F.R. §§ 404.1527(c), 416.927(c)). ... Good cause exists for the ALJ’s finding that Dr. Marchese’s opinion was not bolstered by his treatment notes and did not support the marked or extreme limitations in the questionnaires. ... Taking the record as a whole, substantial evidence supports the ALJ’s findings and the ALJ did not err in affording no weight to Dr. Marchese’s opinion and in assessing the RFC.
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Law changed since Same change as noted above.

Section 404.1527(c) generally gives greater weight to examining physicians than to physicians who merely review medical records, but an ALJ may credit reviewing physicians when their opinions are consistent with the record as a whole.

MacKey v. Colvin · filed 2025-01-31(c)

To be sure, several doctors who examined or treated Mackey concluded that she could not work at all. And ALJs generally give greater weight to doctors who examine patients than those who merely review medical records. 20 C.F.R. § 404.1527(c). But when the medical evidence supports conflicting interpretations, the ALJ may reasonably decide which interpretation to adopt. Tommasetti v. Astrue, 533 F.3d 1035, 1041–42 (9th Cir. 2008). Here, two examining physicians and several reviewing physicians opined that Mackey could perform simple, work-like tasks. The ALJ deemed their opinions consistent with the record as a whole.
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Law changed since Same change as noted above.

Section 404.1527(d)(2) gives a medical source’s opinion controlling weight only when it is well supported by acceptable diagnostic techniques and not inconsistent with other substantial record evidence.

Lyons v. SSA · filed 2025-03-07(d)(2)

Under 20 C.F.R. § 404.1527(d)(2), a medical source’s opinion on the issues of the nature and severity of a claimant’s impairments is given controlling weight only if it is “well-supported by medically acceptable clinical and laboratory diagnostic techniques” and is “not inconsistent with other substantial evidence in [the] case record.” ... The Court, however, finds that the ALJ adequately considered Dr. Ramsey’s own examination findings, as well as the findings of Dr. Cornett in reaching the conclusion that Dr. Ramsey’s opinion was inconsistent both with her own findings and others’ medical findings.
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For claims filed before March 27, 2017, § 404.1527(c) requires medical opinions to be weighted according to the source’s relationship with the claimant, ordinarily giving more weight to examining sources than to non-examining sources.

(SS) (PS) Cantrell v. Commissioner of Social Security · filed 2025-03-19(c)

For all claims, as here, filed before March 27, 2017, ALJs are bound by regulations and case law requiring ALJs to give physicians’ opinions different weights, depending on the relationship between the physician and the claimant. See 20 C.F.R §§ 404.1527(c) & 416.920(c); Garrison v. Colvin, 759 F.3d 995, 1017-18 (9th Cir. 2014). This rule is known as the treating physician rule. The weight given to medical opinions depends in part on whether they are proffered by treating, examining, or non-examining professionals. See Lester v. Chater, 81 F.3d 821, 830-31 (9th Cir. 1995). ... As non-examining professionals, and consistent with the former regulations which govern this case, the ALJ appropriately gave the opinions of Drs. Rowland and Lee less weight than the opinions of examining professionals. Additionally, the ALJ provided a valid reason for doing so, citing inconsistency between the doctors’ opinions and the objective medical evidence. On this record, the Court cannot find any error in the ALJ’s assessment of the opinions of Drs. Rowland or Lee.
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For claims filed before March 27, 2017, § 404.1527(c) generally gives more weight to examining-source opinions and requires the ALJ to consider six enumerated factors when weighing any medical opinion.

Moreno v. Social Security Administration · filed 2025-03-20(c)

For claims filed before March 27, 2017, the weight given to a medical opinion depends, in part, on its source. See 20 C.F.R. § 404.1527(c). Medical opinions from sources who examined the claimant, such as consultative examiners, generally receive more weight than non-examining medical sources. 20 C.F.R. § 404.1527(c)(1). Nonetheless, the ALJ must “consider a series of specific factors in determining what weight to give any medical opinion.” ... The Court finds the ALJ applied the correct legal standards and his decision to reject Dr. Anigbogu’s opinions is supported by substantial evidence.
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For claims filed before March 27, 2017, § 404.1527(c) requires evaluation of every medical opinion, gives controlling weight to a well-supported treating-source opinion that is not inconsistent with other substantial record evidence, and generally gives examining sources more weight than nonexamining sources.

Daniels v. Commissioner of Social Security Administration · filed 2025-03-27(c)

Since Ms. Daniels’s claim was filed before March 27, 2017, the prior rules for evaluating opinion evidence apply. Those regulations provide that every medical opinion will be evaluated, see 20 C.F.R. § 404.1527(c), but there is a hierarchy for evaluating medical opinions in which the well-supported opinion of a treating physician is entitled to controlling weight, see 20 C.F.R. § 404.1527(c)(2), and the opinion of an examining but non-treating medical source is given more weight than a non-examining medical source, see 20 C.F.R. § 404.1527(c)(1).
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Law changed since Same change as noted above.

Subsections (c)(3) and (c)(4) support giving less weight to a medical opinion when the source does not adequately explain it and it conflicts with other record evidence.

Salisbury v. Dudek · filed 2025-03-31(c)(3), (c)(4)

The ALJ gave specific and legitimate reasons for partially rejecting Dr. Stuckey’s opinion. The ALJ stated that Dr. Stuckey failed to fully explain those conclusions that the ALJ rejected. See 20 C.F.R. § 404.1527(c)(3); Orn v. Astrue, 495 F.3d 625, 631 (9th Cir. 2007). And the ALJ also identified instances in which Dr. Stuckey’s opinion conflicted with parts of the record concerning Salisbury’s daily activities. See 20 C.F.R. § 404.1527(c)(4); Bayliss v. Barnhart, 427 F.3d 1211, 1216 (9th Cir. 2005).
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Law changed since Same change as noted above.

Section 404.1527(c) requires an ALJ weighing medical opinions to consider the examining and treatment relationships, supporting evidence and explanation, consistency with the record, and the physician's specialization.

Brown v. Commissioner of Social Security · filed 2025-04-10(c)

The ALJ is to consider a number of factors in determining how much weight to give to each medical opinion: (1) whether the doctor has examined the claimant; (2) the length, nature, and extent of a treating doctor’s relationship with the claimant; (3) the medical evidence and explanation supporting the doctor’s opinion; (4) how consistent the doctor’s ‘opinion is with the record as a whole’; and (5) the doctor’s specialization. ... In this case, the ALJ extensively reviewed the record as a whole, including the medical records and opinions from both Dr. Soto-Varela and Dr. Minor, and found that these opinions were entitled to little weight because they were not supported by objective medical evidence, were not explained in detail, and were not consistent with all of the other evidence throughout the record from all sources. (Tr. 1312-17).
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Law changed since Same change as noted above.

For claims governed by the pre-March 2017 rules, § 404.1527 permits an ALJ to weigh a medical opinion based on the source’s familiarity with the record, consistency with other evidence, specialization, and whether it addresses an issue reserved to the Commissioner.

Duval v. Commissioner of Social Security · filed 2025-07-07(c)(5), (c)(6), (d)(1)

The Court further observes that the ALJ here properly discounted Dr. Deming’s opinion based on her apparent lack of familiarity with other information in the record, 20 C.F.R. §§ 404.1527(c)(6), 416.927(c)(6); upon finding it inconsistent with the overall unremarkable MSE, Bayliss, 427 F.3d at 1216, and the longitudinal record, Smartt, 53 F.4th at 496; as offering equivocal assessments that failed to articulate specific limitations, Ford v. Saul, 950 F.3d 1141, 1156 (9th Cir. 2020); Thomas v. Saul, 796 F. App’x 923, 925-26 (9th Cir. 2019); Shelly A. O. v. Comm’r of Social Sec. Admin., C18-2158, 2020 WL 3868504, at *10 (D. Or. Jul. 8, 2020); as intruding on issues reserved to the Commissioner, 20 C.F.R. §§ 404.1527(d)(1), 416.927(d)(1); and as offering an opinion falling outside of Dr. Deming’s area of expertise, 20 C.F.R. §§ 404.1527(c)(5), 416.927(c)(5).
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For claims filed before March 27, 2017, an examining physician’s opinion receives more weight than a non-examining physician’s opinion.

(SS) Her v. Commissioner of Social Security · filed 2025-07-29(d)(2)

Further, an examining physician’s opinion is given more weight than the opinion of a non-examining physician. Pitzer v. Sullivan, 908 F.2d 502, 506 (9th Cir. 1990); 20 C.F.R. §§ 404.1527(d)(2), 416.927(d)(2).
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Section 404.1527 requires an ALJ weighing pre-March 27, 2017 medical opinions to consider supportability, explanation, consistency, and specialization, and to give specific and legitimate reasons supported by substantial evidence for rejecting a contradicted treating or examining physician’s opinion.

Estrada v. O'Malley · filed 2025-08-21(c)(2), (d)(3)–(6)

The conclusions of the treating physician are not necessarily conclusive. Morgan v. Comm’r of Soc. Sec., 169 F.3d 595, 600 (9th Cir. 1999). But they are given controlling weight if they are “well-supported by medically acceptable clinical and laboratory diagnostic techniques” and “not inconsistent with the other substantial evidence in the claimant’s case record.” Trevizo v. Berryhill, 871 F.3d 664, 675 (9th Cir. 2017) (cleaned up) (quoting 20 C.F.R. § 404.1527(c)(2)). ... If the opinion of a treating or examining physician is contradicted, the ALJ must provide specific and legitimate reasons supported by substantial evidence in the record. Id. ... Factors relevant to evaluating a medical opinion include the amount of relevant evidence that supports the opinion, the quality of the explanation, the consistency of the medical opinion with the record, and the specialty of the opining physician. Orn, 495 F.3d at 631 (citing 20 C.F.R. § 404.1527(d)(3)–(6)). ... The ALJ did not provide specific and legitimate reasons supported by substantial evidence in the record for rejecting Dr. McMillan’s findings. Lester, 81 F.3d at 830–31.
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Law changed since Same change as noted above.

Section 404.1527(c)(3) requires the agency, when weighing a nonexamining source’s opinion, to evaluate how fully the opinion considers the pertinent evidence in the claim.

King v. Commissioner of Social Security · filed 2025-09-08(c)(3)

The regulations specify that for non-examining sources, “we will evaluate the degree to which these medical opinions consider all of the pertinent evidence in your claim[.]” 20 C.F.R. § 404.1527(c)(3) (emphasis added). Thus, the ALJ did not err when he gave less weight to Dr. Levine’s opinion due to Dr. Levine not having reviewed the entire record.
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For claims filed before March 27, 2017, § 404.1527 requires controlling weight for a well-supported treating-source opinion consistent with the record and greater weight for a specialist’s opinion within the specialist’s field.

Terri Goldston v. O'Malley · filed 2025-09-11(c)(2), (c)(5)

For claims filed before March 27, 2017—like Plaintiff’s—the ALJ must give a treating provider’s medical opinion “controlling weight” when the opinion “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.” 20 C.F.R. § 404.1527(c)(2). ... In addition to the deference given to treating providers, explained above, the ALJ must “give more weight to the medical opinion of a specialist about medical issues related to his or her area of specialty than to the medical opinion of a source who is not a specialist.” 20 C.F.R. § 404.1527(c)(5).
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For claims filed before March 27, 2017, § 404.1527 requires an ALJ who does not give a medical opinion controlling weight to evaluate the regulatory factors, including supportability, consistency, and specialization, and to give good reasons for the weight assigned.

Gardner · filed 2025-10-21(c)(2), (d)(3)–(6)

In determining the appropriate weight to assign a nontreating physician’s opinion, the ALJ must also evaluate the opinion’s supportability, consistency with the record, and the physician’s specialization. 20 C.F.R. § 404.1527(d)(3)–(6) (“Regardless of its source, we will evaluate every medical opinion we receive. Unless we give a treating source’s medical opinion controlling weight under paragraph (c)(2) of this section, we consider all of the following factors in deciding the weight we give to any medical opinion: . . . supportability . . . consistency . . . specialization . . . other factors . . . .”) (emphasis added); see also Simila v. Astrue, 573 F.3d 503, 515 (7th Cir. 2009) (“[A]n ALJ is required to determine the weight a nontreating physician’s opinion deserves by examining how well Dr. Caillier supported and explained his opinion, whether his opinion is consistent with the record, whether Dr. Caillier is a specialist in pain disorders, and any other factor of which the ALJ is aware.”) ... The Court cannot find that the ALJ offered good reasons, supported by substantial evidence, for giving little weight to Dr. Vemulapalli’s opinion. And because the ALJ’s evaluation of Dr. Vemulapalli’s opinion is erroneous, her conclusion regarding the weight of that opinion is not supported by substantial evidence.
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Section 404.1527 requires the Secretary to consider the medical findings and other evidence supporting a physician’s statement when weighing it.

Carter v. Schweiker · filed 1982-03-23

This Court believes that the keystone of the Cummins decision, that “a trier of fact is not required to ignore incentives in resolving issues of credibility,” should be considered in light of the fact that the Secretary must take into consideration the medical findings and other evidence that support the physician’s statement (see, 20 C.F.R. § 404.1527) and that the weight accorded a physician’s evidence “depends on the degree to which it is supported by specific and complete clinical findings.” Griffin v. Weinberger, 407 F.Supp. 1388, 1395 (N.D.Ill.1975), aff'd, 539 F.2d 712 (7th Cir. 1976).
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Unsupported medical opinions stating only that a claimant is disabled or not disabled may receive no weight.

Griggs v. Schweiker · filed 1982-08-17

Often when opinions are offered in the social security case the opinion is “no disability” or “total disability” which is based upon little or no objective medical evidence. See 20 C.F.R. § 404.1527. This Court gives such an opinion about the same amount of weight as it would give to the opinion of a lay-bystander —none.
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A physician’s conclusion that a claimant cannot work is not dispositive of disability.

Price v. Heckler · filed 1986-01-07

A physician’s conclusion is not dispositive. See 20 C.F.R. § 404.1527.
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Section 404.1527(d) permits an ALJ to discount a medical opinion based on its inconsistency with the record, limited examining relationship, and lack of clinical support.

Sanchez v. Chater · filed 1997-05-13(d)

However, the ALJ provided detailed reasons for discounting Dr. Baraya’s diagnosis of general rheumatoid arthritis and rheumatic fever with severe tenderness in multiple joints. As the ALJ noted, Dr. Baraya’s diagnosis was grossly inconsistent with the remainder of the medical record. ... At the time Dr. Baraya completed his report, he had examined Sanchez only once. ... Furthermore, Dr. Baraya failed to support his diagnosis by citing to any clinical findings.
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Section 404.1527 requires an ALJ weighing competing medical opinions to consider the examination and treatment relationships, the physician’s specialty, and the opinion’s consistency and supportability.

Wiggins v. Apfel · filed 1998-12-10(a)-(d)

Even if the opinions of Drs. Gordon and Bacalla could be characterized as inconsistent with (as opposed to wholly irrelevant to) that of Dr. Gardner, an ALJ must consider a variety of factors when determining the weight to afford competing medical evidence.
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Section 404.1527(d)(3) gives more weight to medical opinions that a source explains more thoroughly.

Brumfield v. Astrue · filed 2008-06-02(d)(3)

The ALJ did not err in rejecting the opinion of Brumfield’s treating physicians. ... Moreover, the ALJ noted that the treating physician’s opinions were without detailed explanations or findings, see 20 C.F.R. § 404.1527(d)(3) (“The better an explanation a source provides for an opinion, the more weight we will give that opinion.”), and in some respects were internally inconsistent.
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Law changed since Same change as noted above.

Section 404.1527(d) permits an ALJ to give little or no weight to a medical opinion, including a treating source’s opinion, when the ALJ explains the decision using the regulatory factors and the record supports it.

Kersey v. Astrue · filed 2009-03-24(d)

Furthermore, while an ALJ may not reject medical evidence for no reason or for the wrong reason, see King v. Califano, 615 F.2d 1018, 1020 (4th Cir.1980), an ALJ may, under the regulations, assign no or little weight to a medical opinion, even one from a treating source, based on the factors set forth at 20 C.F.R. §§ 404.1527(d), 416.927(d), if he sufficiently explains his rationale and if the record supports his findings.
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Section 404.1527(d) permits an ALJ to give a medical opinion only some weight after considering the source’s relationship to the claimant, the opinion’s support, and its consistency with the record.

Cohen v. Astrue · filed 2012-03-30(d)

This Court determines, using the factors in 20 C.F.R. § 404.1527(d), that the record supports the hearing officer’s determination of the weight given to Dr. Hymoffs opinion.
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Section 404.1527 requires an ALJ to consider the regulatory factors when weighing medical opinions, including the treatment relationship and the physician’s relevant specialty.

Plessinger v. Berryhill · filed 2018-08-20(c)(2)-(5)

Nevertheless, the ALJ erred by giving Dr. Pella's testimony greater weight than was appropriate based on the factors the regulations identify for assessing medical opinions. See 20 C.F.R. § 404.1527(c)(2)-(5).
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An ALJ must explain the weight assigned to each medical source opinion and explain omissions of limitations from an opinion the ALJ adopts.

Serafin v. Social Security Administration · filed 2019-08-15(e)(2)(ii)

Although ALJs need not discuss every piece of evidence, they are required to discuss the weight assigned to each medical source opinion. ... The ALJ accorded great weight to Dr. Walker’s and Dr. Lawrence’s opinions. Tr. 1101. Nevertheless, the ALJ failed to account for all of their limitations in his RFC assessment. Without any explanation for the omissions, the ALJ erred.
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For applications filed before March 27, 2017, an examining medical source’s opinion receives greater weight than a nonexamining source’s opinion.

Brandon v. O'Malley · filed 2024-04-16(c)(1)

His opinion is “entitled to greater weight than the opinion of a nonexamining physician.”
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An ALJ may give greater weight to a nonexamining physician's opinion when the physician reviews treating and examining doctors' reports and supports the opinion with medical findings.

Ferland v. SSA · filed 2011-10-31(d)(3)

First, as a general matter, an ALJ may place "[glreater reliance" on the assessment of a non-examining physician where the physician "reviewed the reports of examining and treating doctors . . . and supported [his] conclusions with reference to medical findings."
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An examining physician’s opinion does not receive the controlling weight available to a treating source’s opinion.

Vidrine v. Berryhill · filed 2019-06-25(c)(2)

The SSA’s “rules do not provide that [even] an examining physician’s opinion may receive ‘controlling weight’ as a treating source might.”
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Law changed since Same change as noted above.

Section 404.1527 permits an ALJ to give a consultative examiner’s opinion greater weight than a treating source’s opinion when it is more consistent with the medical evidence.

Corbett v. Commissioner of Social Security · filed 2020-11-03(c)(2)

A consultative examiner’s opinion may be accorded greater weight than a treating source’s opinion where the ALJ finds it more consistent with the medical evidence.
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Law changed since Same change as noted above.

A medical opinion’s consistency with the record as a whole affects the weight it receives.

Maserang v. Saul · filed 2021-03-29(c)(4)

Additionally, because their opinions are consistent with the other medical evidence in the record, they further support the ALJ’s rejection of Dr. Kotha’s assessment.
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Section 404.1527(d)(3) makes supporting explanations relevant to the weight given a nonexamining physician’s opinion.

CLARK v. Commissioner of Soc. Sec. Admin. · filed 2019-05-07(d)(3)

But, as defendant points out, when Dr. Lebeau was testifying as to what functional limitations plaintiff had, Dr. Lebeau explained the basis for each limitation or why he was ... not including any particular limitation. ... The ALJ did not err as to Dr. Lebeau’s opinion, or at least not for the reason plaintiff argues.
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Section 404.1527 required an ALJ to assign specific weight to medical opinions under the prior rules; that requirement does not apply to claims filed after March 27, 2017.

Roberts v. Kijakazi · filed 2023-12-14

Although an ALJ no longer needs to provide a specific weight to medical opinions – a requirement under the prior regulation, see 20 C.F.R. § 404.1527 – the ALJ must still articulate how persuasive the ALJ finds medical opinions and prior administrative medical findings to be.
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An ALJ may give a medical opinion little weight when the record contradicts it or does not support it.

Pichardo v. O'Malley · filed 2024-01-31(c)(2)

As noted by the Commissioner, an ALJ may accord a medical opinion little weight based on contradictions with or a lack of support in the record.
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Section 404.1527 permits an ALJ to give a medical opinion little weight when the source’s findings contradict the proposed limitations.

Romero v. Saul · filed 2021-03-29(c)(4)

Thus, given Dr. Mathur’s contradictory statements regarding the severity of Plaintiff’s physical impairments, I find the ALJ’s decision to afford Dr. Mathur’s opinion little weight to be supported by substantial evidence.
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Section 404.1527 permits an ALJ to discount a medical opinion that is inconsistent with other evidence in the record.

Brown v. Commissioner of Social Security Administration · filed 2021-07-20

This was permissible under the controlling regulations. See 20 C.F.R. §§ 404.1527, 416.927 (allowing an ALJ to discount a medical opinion that is inconsistent with other record evidence).
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Section 404.1527 requires an ALJ to consider supportability and consistency when weighing a medical opinion.

Ashley v. Commissioner of the Social Security Administration · filed 2021-09-29(c)

The ALJ clearly considered the necessary factors before assigning Dr. Zellers’ opinion partial weight, specifically those of supportability and consistency. 20 C.F.R. §§ 404.1527(c),(e), 927(c),(e).
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An ALJ may consider a medical source’s specialization when deciding how much weight to give the source’s opinion.

Abrahams, Jr. v. Saul · filed 2022-03-28(c)(5)

The ALJ may consider the source’s specialization in determining the weight to afford the opinion. 20 C.F.R. § 404.1527(c)(5).
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An ALJ may give less weight to a medical opinion that conflicts with the record as a whole or rests on unsupported findings.

MANCO v. COMMISSIONER OF SOCIAL SECURITY · filed 2022-03-31(d)(2)

It is well within the discretion of the ALJ, in weighing such an extensive amount of information, to accord less weight to a particular medical opinion that is inconsistent with the record as a whole or an opinion that offers a conclusion based upon unsupported internal findings, as occurred here.
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Section 404.1527 permits an ALJ to give little weight to a nurse practitioner’s opinion for germane reasons, including reliance on subjective reports and lack of support in medical evidence.

Rydalch v. Commissioner of Social Security · filed 2022-09-30

The Court finds the ALJ provided valid germane reasons for discrediting Young’s opinion because it was based on Petitioner’s subjective reports, rather than objective signs or tests, and because it was not supported by objective medical evidence and treatment records.
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For claims filed before March 27, 2017, § 404.1527 requires ALJs to weigh physicians’ opinions in light of their relationship with the claimant.

(SS) Ray v. Commissioner of Social Security · filed 2024-03-07(c)

For all claims, as here, filed before March 27, 2017, ALJs are bound by regulations and case law requiring ALJs to give physicians’ opinions appropriate and potentially differing weights, depending on the relationship between the physician and the claimant.
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In this case, the court held that the ALJ erred by giving an examining doctor’s opinion only partial weight after finding it consistent with the medical evidence.

Zoellick v. Commissioner of Social Security Administration · filed 2025-03-31(c)(2)

Instead, he found that Dr. Ruzich’s opinion was consistent with the medical evidence, so under the applicable regulations, the ALJ was required to afford the opinion controlling weight. The ALJ erred by improperly evaluating Dr. Ruzich’s opinion.
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Section 404.1527(d)(2) requires an ALJ to give good reasons for the weight assigned to a treating source medical opinion.

Busby v. Barnhart · filed 2004-07-13(d)(2)

After considering these factors, the ALJ must “ ‘give good reasons’ ... for the weight he ultimately assigns the opinion.”
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Section 404.1527(c)(4) makes consistency with the medical record a factor in weighing medical opinions.

(SS) Rubio v. Commissioner of Social Security · filed 2021-08-12(c)(4)

The ALJ appropriately gave more weight to the state agency physicians and the medical examiner whose opinions he found more consistent with medical evidence.
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Section 404.1527(c) permits an ALJ to give a medical opinion less weight when it lacks supporting evidence or explanation or conflicts with the record as a whole.

Pratt v. Saul · filed 2021-08-16(c)

Further, an ALJ may give an opinion less weight or no weight if it does not present relevant evidence or a sufficient explanation to support it, or if it is inconsistent with the record as a whole. 20 C.F.R. §§ 404.1527(c), 416.927(c).
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Section 404.1527(c) applies to claims filed before March 27, 2017, and requires preferential weight for treating medical sources.

(SS) Martinez v. Commissioner of Social Security · filed 2024-05-30(c)

Because Plaintiff’s application was filed prior to March 27, 2017 (AR at 341-53) and not decided until after that date, 20 C.F.R. §§ 404.1527(c) and 416.927(c) apply and required the ... ALJ to extend preferential status to treating as compared to non-treating medical sources.
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Section 404.1527(d) permits an ALJ to give little weight to a medical opinion that lacks a clear basis in examination or medical findings and to credit an opinion supported by a physical examination.

Ruffalo v. Barnhart · filed 2003-05-01(d)

First, Dr. Dale did not indicate on the questionnaires whether he based his opinions on an examination of Ruffalo or a review of Ruffalo’s medical records. Second, Dr. Dale did not cite medical findings to support his assessment of Ruffalo’s ability to work, even though he was specifically asked to do so on the questionnaire. Without any supporting objective evidence providing a foundation for Dr. Dale’s opinions, the ALJ was entitled to credit Dr. Wilson’s opinion (which was supported by a physical examination) and find Ruffalo capable of performing sedentary or modified light work.
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Section 404.1527(c)(2) permits an ALJ to give little weight to a medical opinion that is inconsistent with the record as a whole.

Svare v. SSA · filed 2003-11-12(c)(2)

Additionally, the ALJ was within his discretion to evaluate Dr. Campbell’s opinion regarding Svare’s ability to handle stress, and assign the appropriate weight. The ALJ assigned D r . Campbell’s opinion little weight because it did not fit with the established facts on the record as a whole.
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Section 404.1527 directs adjudicators to weigh medical opinions using factors including the examining relationship, treatment relationship, supportability, consistency, and specialization.

Picard v. McMahon · filed 2007-02-05(d)(1)-(5)

There are several factors by which medical opinions should be evaluated, including (1) the examining relationship, (2) the treatment relationship (length of the relationship and frequency of evaluation, as well as nature and extent of the relationship), (3) supportability, (4) consistency, and (5) specialization. ... The hearing officer’s assessment of Pi-card’s January 2005 psychological evaluation is consistent with the framework set out in the regulations.
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Unless a treating source opinion receives controlling weight, the Commissioner must evaluate medical opinions under the regulatory factors and state the weight assigned.

Yoakum v. Astrue · filed 2007-03-19(d)

Such opinions may not be ignored and, unless a treating source opinion is given controlling weight, will be evaluated by the Commissioner in accordance with factors contained in the regulations. ... Nevertheless, he did not state the weight given to any of the medical source opinions as required in such a case.
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Section 404.1527(d)(1) generally gives more weight to an examining source’s opinion than to a nonexamining source’s opinion, particularly when evaluating a psychiatric diagnosis.

Velazquez v. Barnhart · filed 2007-11-01(d)(1)

In the context of a psychiatric disability diagnosis, it is improper to rely on the opinion of a non-treating, non-examining doctor because the inherent subjectivity of a psychiatric diagnosis requires the physician rendering the diagnosis to personally observe the patient.
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Section 404.1527(d) permits an ALJ to give greater weight to a medical opinion based on its consistency with the record as a whole.

Wolfe v. Commissioner of Social Security · filed 2008-04-01(d)

The ALJ did not err in giving greater weight to Dr. Burnett’s opinion, in light of its consistency with the record as a whole.
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Section 404.1527 does not give controlling weight to an unsupported conclusory opinion or a medical-source opinion that an applicant is disabled.

MUCKLER v. Astrue · filed 2009-08-14(d)-(e)

Neither an unsupported conclusory statement nor a medical-source opinion that an applicant is disabled is the type of opinion to which controlling weight should be given.
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The weight given a nonexamining physician’s opinion depends on the supporting explanations the physician provides.

Trego v. Astrue · filed 2009-10-29(d)(3)

Trego also correctly notes that Dr. Burris provides no explanation for his opinion that Trego was capable of sedentary work. As noted by this court in Ryan v. Commissioner of Social Secmity, “[t]he weight afforded a non-examining physician’s testimony depends ‘on the degree to which they provide supporting explanations for their opinions.’ ” 528 F.3d 1194, 1201 (9th Cir.2008) (quoting 20 C.F.R. § 404.1527(d)(3)). Here, Dr. Burris’s assessment was similar to the non-examining physicians’ assessments in Ryan, as they all essentially consist of a series of boxes checked on a form.
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Section 404.1527 requires an ALJ to weigh doctors’ opinions and explain the weight assigned; consistency with other medical evidence supports giving state agency opinions significant weight.

Goffron v. Astrue · filed 2012-05-02(f)

The ALJ must determine how much weight to afford the opinions of doctors and must explain those decisions. ... The record does not contain any opinion evidence from a treating source. Therefore, the ALJ gave significant weight to Dr. Madala’s physical RFC and Dr. Travis’s mental RFC because they were consistent with other medical evidence.
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Opinions about a claimant’s physical abilities and limitations require the ALJ to state the weight assigned and the reasons for it.

Rosario v. Commissioner of Social Security · filed 2012-07-03(a)(2)

Drs. Sastry, Martin and Greenspan did not simply opine that Claimant is disabled or unable to work. Rather, they provided opinions on Claimant’s physical abilities and limitations in light of her impairments. The ALJ was required to state the weight given to these opinions and the reasons therefor, which, as noted above, the ALJ failed to do.
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The weight given to a nonexamining medical opinion depends on its supporting explanation; an inadequately explained assessment may not substantially support an ALJ’s finding.

Ormon v. Astrue · filed 2012-09-07(d)(3)

Of course, such evidence must be “substantial,” and, under the regulations, the weight given to a nonexamining opinion “will depend on the degree to which [it] provide[s] supporting explanations.” 20 C.F.R. § 404.1527(d)(3). Here, the explanation given by Dr. Gopal is lacking. ... Given the foregoing, such assessment cannot provide substantial support for the ALJ’s conclusion that claimant is capable of performing light work.
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An examining relationship is one factor in weighing a medical opinion; it does not by itself require an examining source’s opinion to receive greater weight.

Carter v. Colvin · filed 2014-03-20(c)(1)

Although it is true that Dr. Campbell’s opinion was ... based on a personal evaluation of plaintiff, while Dr. Ketelhorn merely reviewed the medical evidence of record, the nature of the examining relationship is but one factor that bears on the weight to be given to a medical source opinion. See 20 C.F.R. § 404.1527(c)(1).
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Section 404.1527(c)(4) permits an ALJ to give a medical opinion less weight when it is inconsistent with the record as a whole.

Harrison v. Commissioner of Social Security · filed 2014-06-24(c)(4)

With these principles in mind, we conclude that substantial evidence supported the ALJ’s decision to give diminished weight to Dr. Davina-Brown’s opinions regarding the severity of Harrison’s physical limitations. Indeed, the ALJ highlighted a number of ways that Dr. Davina-Brown’s opinions were inconsistent with the record as a whole.
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Section 404.1527 requires specific and legitimate reasons supported by substantial evidence to reject a contradicted examining physician’s opinion.

Franz v. Colvin · filed 2015-02-11

If a treating or examining physician’s opinion is contradicted by another physician’s opinion, it may be rejected by specific and legitimate reasons. ... Having carefully reviewed the record, I conclude that the ALJ’s reasoning falls short.
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A nonexamining physician’s checklist opinion with inadequate supporting explanations does not warrant substantial weight.

Papesh v. Colvin · filed 2015-05-27(c)(3)

To the extent the ALJ gave Dr. Larson’s opinion substantial weight, the ALJ erred. First, the opinion is in checklist format. See McCoy, 648 F.3d at 615. Second, this court is unimpressed by “the degree to which [Dr. Larson] provide[d] supporting explanations for [his] opinion[].” See 20 C.F.R. § 404.1527(c)(3).
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Section 404.1527(c) requires an ALJ who relies on a non-treating physician's opinion to show that the ALJ considered whether the physician reviewed the entire record.

Powers v. Comm'r of Soc. Sec. · filed 2018-12-06(c)

The ALJ may, nonetheless, afford weight to the opinions of those non-treating physicians who have not reviewed the entire record, but "the ALJ 'must give some indication' that he [or she] 'at least considered' that the source did not review the entire record[,]' " i.e. , "the record must give some indication that the ALJ subjected such an opinion to scrutiny." ... Because the ALJ did not subject the state agency opinions he relied on to the requisite scrutiny, the resulting non-disability finding is unsupported by substantial evidence.
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Notes 1501–1650 of 10,655, oldest cases first.

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