20 C.F.R. § 404.1517
Consultative examination at our expense
If your medical sources cannot or will not give us sufficient medical evidence about your impairment for us to determine whether you are disabled or blind, we may ask you to have one or more physical or mental examinations or tests. We will pay for these examinations. However, we will not pay for any medical examination arranged by you or your representative without our advance approval. If we arrange for the examination or test, we will give you reasonable notice of the date, time, and place the examination or test will be given, and the name of the person or facility who will do it. We will also give the examiner any necessary background information about your condition.
Notes of Decisions
Cited in 203
cases (80 in the last 5 years), 1979–2025 · leading case: Karen Garrison v. Carolyn W. Colvin, 759 F.3d 995 (9th Cir. 2014).
Karen Garrison v. Carolyn W. Colvin, 759 F.3d 995 (9th Cir. 2014). “See 20 C.F.R. § 404.1517 (c)(4). 14 . See 20 C.”
Theresa E. Foster v. William A. Halter, 279 F.3d 348 (6th Cir. 2002). “20 C.F.R. §§ 404.1517 , 416.917 (“If your medical sources cannot or will not give us sufficient medical evidence about your impairment for us to determine whether you are disabled or blind, we may ask you to have one or more physical or mental examinations or tests.”
Jose E. Carrillo Marin v. Sec'y of Health & Human Servs., 758 F.2d 14 (1st Cir. 1985). “On appeal claimant contends that (1) the AU erred in disregarding uncontroverted medical evidence and in basing his decision on his own observations and (2) that if the Secretary was in doubt she should have ordered a consultative examination pursuant to 20 C.F.R. § 404.1517…”
Armstrong v. New Mexico Disability Determination Servs., 278 F. Supp. 3d 1193 (D.N.M. 2017). “” 20 C.F.R. § 404.1517 . An applicant may object to the person that NMDDS designates to perform the consultative examination and, “if there is a good reason for the objection,” NMDDS will designate someone else.”
Taylor v. Astrue, 32 F. Supp. 3d 253 (N.D.N.Y. 2012). “1997) (citing 20 C.F.R. § 404.1517 )). “Several courts have held .”
Hooper v. Colvin, 199 F. Supp. 3d 796 (S.D.N.Y. 2016). “20 C.F.R. § 404.1517 . The ALJ has the discretion to obtain a consultative examination “on an individual case basis” and may do so “to try to resolve an inconsistency in the evidence, or when the evidence as a whole is insufficient to allow [him] to make a determination or…”
Nadine Reed v. Larry G. Massanari, Acting Comm'r of Soc. Sec., 270 F.3d 838 (9th Cir. 2001). “See generally 20 C.F.R. §§ 404.1517 -1519t, 416.917-919t.”
Chester Brantley v. Comm'r of Soc. Sec., 637 F. App'x 888 (6th Cir. 2016). “Amos and Siegel with the medical records from Brantley’s prior period of disability violated the ALJ’s obligation to give examiners “any necessary background information” about Brantley’s medical condition. The Commissioner argues that “background information is not equivalent…”
Ronnie E. Outlaw v. Jo Anne B. Barnhart, 197 F. App'x 825 (11th Cir. 2006). “; 20 C.F.R. § 404.1517 . Here, the ALJ did not err in refusing to order a consultative examination of Outlaw because the record contained extensive medical records about his physical and mental complaints.”
Correale-Englehart v. Astrue, 687 F. Supp. 2d 396 (S.D.N.Y. 2010). “” 20 C.F.R. § 404.1517 . The SSA pays for this examination.”
Florence M. Wren v. Louis W. Sullivan, M.D., Sec'y of Health & Human Servs., 925 F.2d 123 (5th Cir. 1991). “See 20 C.F.R. § 404.1517 (1989). However, the decision to require such an examination is within the discretion of the ALJ.”
Thompson v. Halter, 45 F. App'x 146 (3rd Cir. 2002). “She suggests that the ALJ should have requested a consultative examination, but the ALJ’s duty to develop the record does not require a consultative examination unless the claimant establishes that such an examination is necessary to enable the ALJ to make the disability…”
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