* This order and judgment is not binding precedent, except under the

doctrines of law of the case, res judicata, and collateral estoppel. The court

generally disfavors the citation of orders and judgments; nevertheless, an order

and judgment may be cited under the terms and conditions of 10th Cir. R. 36.3. 

F I L E D

United States Court of Appeals

Tenth Circuit

SEP 23 2004

PATRICK FISHER

Clerk

UNITED STATES COURT OF APPEALS

FOR THE TENTH CIRCUIT

KATHLEEN CAUSEY,

Plaintiff-Appellant,

v.

JO ANNE B. BARNHART,

Commissioner, Social Security

Administration,

Defendant-Appellee.

No. 03-7131

(D.C. No. 02-CV-291-S)

(E.D. Okla.)

ORDER AND JUDGMENT *

Before KELLY , HARTZ , and TYMKOVICH , Circuit Judges.

After examining the briefs and appellate record, this panel has determined

unanimously to grant the parties’ request for a decision on the briefs without oral

argument. See Fed. R. App. P. 34(f); 10th Cir. R. 34.1(G). The case is therefore

ordered submitted without oral argument. 
-2-

Plaintiff-appellant Kathleen Causey appeals from an order of the district

court affirming the Social Security Administration’s decision denying her

application for supplemental security income benefits. We exercise jurisdiction

under 42 U.S.C. § 405(g) and 28 U.S.C. § 1291 and affirm.

Plaintiff claims that she has been unable to work since June 28, 1993, due

to chronic obstructive pulmonary disease or asthma, multiple sclerosis,

hypertension, and body pain. After her application was denied initially and on

reconsideration, a de novo hearing was held before an administrative law judge

(ALJ). Subsequently, in a decision dated May 16, 2001, the ALJ denied

plaintiff’s application for disability benefits, concluding that plaintiff was not

disabled. The ALJ determined that plaintiff suffered from severe impairments

which prevented her from performing her past relevant light work as a

housekeeper and office cleaner. However, she retained the residual functional

capacity (RFC) to perform a wide range of sedentary work, and based on the

testimony of the vocational expert at the hearing before the ALJ, she was capable

of performing other jobs that existed in significant numbers in the national

economy.

The Appeals Council denied review, making the ALJ’s decision the

Commissioner’s final decision. See Doyal v. Barnhart , 331 F.3d 758, 759 (10th
-3-

Cir. 2003). Plaintiff then filed a complaint in the district court, which entered an

order affirming the ALJ’s decision. This appeal followed.

In reviewing the ALJ’s decision, “we neither reweigh the evidence nor

substitute our judgment for that of the agency.” Casias v. Sec’y of Health &

Human Servs ., 933 F.2d 799, 800 (10th Cir. 1991). Instead, we review the ALJ’s

decision only to determine whether the correct legal standards were applied and

whether the ALJ’s factual findings are supported by substantial evidence in the

record. Doyal , 331 F.3d at 760. 

Plaintiff raises one narrow issue: whether the ALJ failed to give

appropriate consideration to one aspect of her treating physician’s opinion, so we

confine our analysis of this case to a resolution of this specific issue. “In

deciding how much weight to give a treating source opinion, an ALJ must first

determine whether the opinion qualifies for ‘controlling weight.’” Watkins v.

Barnhart , 350 F.3d 1297, 1300 (10th Cir. 2003). An ALJ is required to give the

opinion of a treating physician controlling weight when it is both: 

(1) “well-supported by medically acceptable clinical and laboratory diagnostic

techniques;” and (2) “consistent with other substantial evidence in the record.” 

Id. (quotation omitted). “[I]f the opinion is deficient in either of these respects,

then it is not entitled to controlling weight.” Id.
-4-

Even if a treating physician’s opinion is not entitled to controlling weight,

it is “still entitled to deference and must be weighed” using the following factors:

 (1) the length of the treatment relationship and the frequency of

examination; (2) the nature and extent of the treatment relationship,

including the treatment provided and the kind of examination or

testing performed; (3) the degree to which the physician’s opinion is

supported by relevant evidence; (4) consistency between the opinion

and the record as a whole; (5) whether or not the physician is a

specialist in the area upon which an opinion is rendered; and

(6) other factors brought to the ALJ’s attention which tend to support

or contradict the opinion. 

Id. at 1301 (quotations omitted). After considering these factors, “the ALJ must

give good reasons in [his] . . . decision for the weight he ultimately assigns the

opinion.” Id. (quotation omitted). 

Here, plaintiff’s treating physician, Dr. Waldrop, provided a medical source

statement form evaluating plaintiff’s ability to lift, stand, walk, sit, and push or

pull. The form also reflected Dr. Waldrop’s check-mark agreement to a

statement that plaintiff was “required to lie down during the normal workday to

manage pain.” Aplt. App., Tab 3 at 276, ¶ 2(A)(7). Dr. Waldrop, however, did

not follow the form’s instruction to “[b]riefly describe the principal, clinical and

laboratory findings and symptoms or allegations (including pain) from which [the

described] impairment-related capacit[y] and limitation[]” was derived. Id. at

¶ 2(E). The ALJ adopted all of the restrictions listed by Dr. Waldrop except for 

plaintiff’s need to lie down. With regard to that “extreme limitation,” the ALJ
-5-

stated that Dr. Waldrop “was unable to provide any substantiating

documentation.” Id. at 18. 

Implicit in the ALJ’s decision is a finding that Dr. Waldrop’s opinion on 

plaintiff’s need to lie down during the normal workday is not entitled to

controlling weight. Further, the ALJ considered the Watkins factors in his

decision, albeit in an abbreviated and scattered fashion. He noted that claimant

had “been under the care of [Dr.] Waldrop for many years.” Id. at 17. He also

evaluated the medical record, primarily compiled by Dr. Waldrop, and the

credibility of plaintiff’s testimony on her subjective claims. Id. at 17-18. With

this background, the ALJ determined that the record did not support the claimed

need for plaintiff to lie down during the workday. Id. at 17. 

 The ALJ could have been more meticulous in following the established

Tenth Circuit framework for evaluating a treating physician’s opinion. However,

his decision provides legally sufficient and factually supported reasons for

rejecting this one aspect of Dr. Waldrop’s opinion. Our careful review of the

record on appeal, in light of the deferential appellate standard, leads us to

AFFIRM the judgment of the district court. 

Entered for the Court

Paul J. Kelly, Jr. 

Circuit Judge