                                                                    [DO NOT PUBLISH]

                      IN THE UNITED STATES COURT OF APPEALS
                                                                           FILED
                                   FOR THE ELEVENTH CIRCUITU.S. COURT OF APPEALS
                                    ________________________ ELEVENTH CIRCUIT
                                                                       APR 11, 2011
                                            No. 10-14557                JOHN LEY
                                        Non-Argument Calendar             CLERK
                                      ________________________

                              D.C. Docket No. 1:09-cv-00114-MP-AK

MELISSA SUZANNE SMITH,

llllllllllllllllllllllllllllllllllllllll                         Plaintiff-Appellant,

                                               versus

COMMISSIONER OF SOCIAL SECURITY,

lllllllllllllllllllllllllllllllllllllll                          lDefendant-Appellee.

                                     ________________________

                           Appeal from the United States District Court
                               for the Northern District of Florida
                                 ________________________

                                           (April 11, 2011)

Before BARKETT, WILSON and BLACK, Circuit Judges.

PER CURIAM:

         Melissa Suzanne Smith appeals the district court’s order affirming the

Social Security Administration’s denial of her application for disability insurance
benefits, 42 U.S.C. § 405(g). On appeal, Smith argues that the ALJ’s finding of a

severe combination of listed impairments at step two of the evaluation was not

supported by substantial evidence because the evidence showed that four other

impairments were also severe. Smith contends that the ALJ failed to consider an

opinion of a non-examining consultant in making the determination of severe

impairments. Smith also asserts that the Administrative Law Judge (ALJ) legally

erred by failing to consider her mental and physical impairments in combination

when evaluating her level of disability. Further, Smith argues that the evidence

does not support the ALJ’s determination that Smith’s testimony was not entirely

credible, and Smith challenges the ALJ’s residual functional capacity

determination, which was predicated, in part, on the credibility determination, and

also provided the basis for the ultimate finding that Smith was not disabled.

Finally, Smith argues that the ALJ’s findings were not sufficient to allow

meaningful appellate review.

      We review a Commissioner’s decision denying Social Security benefits to

determine whether it is supported by substantial evidence and whether the proper

legal standards were applied. Crawford v. Comm’r of Soc. Sec., 363 F.3d 1155,

1158 (11th Cir. 2004). The Commissioner’s factual findings are conclusive if

“supported by substantial evidence,” but the Commissioner’s “conclusions of law,

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including applicable review standards, are not presumed valid.” Martin v.

Sullivan, 894 F.2d 1520, 1529 (11th Cir. 1990) (quotation omitted). “Substantial

evidence is more than a scintilla and is such relevant evidence as a reasonable

person would accept as adequate to support a conclusion.” Crawford, 363 F.3d at

1158 (quotation omitted). We “may not decide facts anew, reweigh the evidence,

or substitute our judgment for that of the Commissioner.” Dyer v. Barnhart, 395

F.3d 1206, 1210 (11th Cir. 2005) (quotation and alteration omitted). “Even if the

evidence preponderates against the [Commissioner’s] factual findings, we must

affirm if the decision reached is supported by substantial evidence.” Martin, 894

F.2d at 1529.

      The Social Security Regulations outline a five-step process used to determine

whether a claimant is disabled. 20 C.F.R. § 404.1520(a)(4). Under the first step, the

claimant has the burden to show that she is not currently engaged in substantial

gainful activity. Id. § 404.1520(a)(4)(i). At step two, the claimant must show that

she has a severe impairment or combination of impairments. Id. § 404.1520(a)(4)(ii).

Third, she must attempt to show that the impairment meets or equals the criteria

contained in one of the Listings of Impairments. Id. § 404.1520(a)(4)(iii). Fourth,

if the claimant cannot meet or equal the criteria, the claimant’s residual functional

capacity is assessed, and she must show that she has an impairment which prevents

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her from performing her past relevant work. Id. § 404.1520(a)(4)(iv). Fifth, once a

claimant establishes that she cannot perform her past relevant work due to some

severe impairment, the burden shifts to the Commissioner to show that significant

numbers of jobs exist in the national economy which the claimant can perform. Id.

§ 404.1520(a)(4)(v); Phillips v. Barnhart, 357 F.3d 1232, 1239 (11th Cir. 2004).

      At step two of the sequential analysis, the claimant bears the burden of proving

that she has a severe impairment or combination of impairments to demonstrate a

qualifying disability. See Moore v. Barnhart, 405 F.3d 1208, 1211 (11th Cir. 2005)

(holding that the regulations place “a very heavy burden” on the claimant to

demonstrate a qualifying disability); Phillips, 357 F.3d at 1237 (noting that the

second step of the analysis requires the ALJ to consider the severity of the claimant’s

impairments alone or in combination). Impairments, alone or in combination, are

severe if they “‘significantly limit’ the claimant’s ‘physical or mental ability to do

basic work skills.’” Phillips, 357 F.3d at 1237 (quoting 20 C.F.R. § 404.1520(c)).

      When a claimant attempts to establish disability through her own testimony

concerning pain or other subjective symptoms, the claimant must satisfy two parts of

a three-part “pain standard,” which requires evidence of an underlying medical

condition, and either (A) objective medical evidence that confirms the severity of the

alleged pain stemming from that condition, or (B) that the objectively determined

                                          4
medical condition is so severe that it can reasonably be expected to cause the alleged

pain. Wilson v. Barnhart, 284 F.3d 1219, 1225 (11th Cir. 2002). “After considering

a claimant’s complaints of pain, the ALJ may reject them as not creditable, and that

determination will be reviewed for substantial evidence.” Marbury v. Sullivan, 957

F.2d 837, 839 (11th Cir. 1992).

      Generally, the opinions of examining or treating physicians are given more

weight than non-examining or non-treating physicians unless “good cause” is shown.

See 20 C.F.R. § 404.1527(d)(1), (2); Lewis v. Callahan, 125 F.3d 1436, 1440 (11th

Cir. 1997). Good cause exists to discredit a physician’s testimony when a physician’s

opinion is conclusory, contrary to or unsupported by the evidence of record, or

inconsistent with the physician’s own medical records. Lewis, 125 F.3d at 1440.

“[F]indings and other opinions of State agency medical and psychological consultants

. . . [are considered] as opinion evidence . . .” of non-examining sources. 20 C.F.R.

§ 404.1527(f)(2)(i).

      In this case, a review of the entire record and consideration of the parties’

briefs reflects that the ALJ’s finding of a severe combination of certain listed

impairments was supported by substantial evidence, as was the conclusion that the

other four impairments named by Smith did not affect Smith’s ability to work, were

not severe, and did not impact the severity of the combination of impairments. The

                                          5
ALJ properly followed the opinion of the examining physician over the opinion of

a nonexamining consultant, in characterizing the severe impairments. See 20 C.F.R.

§ 404.1527(d)(1) and (f)(2)(i). The record also reflects that the ALJ considered

Smith’s impairments in combination and did not legally err in this regard because the

ALJ’s analysis and ultimate determinations were properly predicated on the combined

effect of Smith’s impairments and symptoms. Further, the ALJ’s determination was

clearly articulated and supported by substantial evidence. Based on all of Smith’s

impairments, the ALJ’s residual functional capacity determination was also supported

by substantial evidence.    This determination was supported by an examining

physician’s opinion, by the opinions of nonexamining consultants, and by the

testimony of a vocational expert. Based on the record, we cannot say the ALJ erred

in concluding that Smith was not disabled, and the ALJ’s decision was sufficiently

supported and articulated to allow our meaningful review.

      AFFIRMED.




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