Established in 1991
The Mann Ear, Nose and Throat Clinic
is a physician‑owned and operated Otolaryngology practice with
two office locations in Cary and Clayton, North Carolina
Physician Assistants Meghan DeMatta, Kelsey Mendez and Sarah Nassar provide additional expert care to our patients, including same day appointments at our ENT Urgent Care, ensuring more convenient service during your visit to Mann ENT

We maintain professional associations with:
WakeMed Cary Hospital
WakeMed Raleigh Hospital
Rex Hospital
Rex Surgery Center of Cary
Dr. Spector exercises partial ownership in The Rex Surgery Center of Cary, a division of UNC Healthcare
We strive to maintain the highest level of ethical and compassionate care for our patients, with constant attention to providing the newest innovations in Otolaryngology to the Triangle with constant attention to patient comfort and education
We are proud to be the first practice in North Carolina to offer such revolutionary treatments as endoscopic sinus surgery, in-office general anesthesia, balloon sinus dilation, eustachian tube dilation and sublingual immunotherapy to our community over the years, as well as open the first highly-specialized ENT Urgent Care in North Carolina

Mann ENT has provided free medical and surgical care to the Triangle area in association with Project Access and Alliance Medical Ministries for several decades

Common ENT Conditions Treated
Mann ENT Insurance Information
We Currently Accept:
AARP Alignment Healthcare Aetna Bankers Life Mutual of Omaha
BCBS State BCBS Federal BCBS
Cigna Tricare Tricare for Life Medicare Medicare Rail Road
Medicaid Blue Medicare Medicare Advantage plans
GEHA Humana Medcost UMR United Healthcare
We Can Help You File a Claim for “Out of Network” Benefits with ANY INSURANCE PROVIDER, including:
Aetna HMO Prime Aetna HMO IPA Cigna Connect Cigna Surefit BCBS Anthem HealthKeepers
Blue Value Blue Local Coventry one (with Duke POS as plan type) GHI Duke Select
VA Health Choice
Our Financial Policies
Thank you for choosing Mann ENT Clinic for your ENT needs. We are dedicated to delivering top-notch medical care while upholding transparency and cost-effectiveness in our services. Your understanding and cooperation are essential to ensure a smooth experience, so please feel free to reach out if you have any inquiries about our policies.
Insurance Coverage:
When scheduling your appointments, please provide us with your current insurance information and promptly inform us of any changes. It is crucial to remember that your health insurance policy is a contract between you and your insurance company. As the policy holder or patient, it is your responsibility to comprehend your coverage, including deductibles, copayments, and coinsurance. Make sure your doctor is in-network and that the services are covered under your plan. If you have questions about your insurance benefits, we encourage you to contact your insurance plan directly.
Insurance Claims:
We bill your insurance company as a courtesy, but we do require accurate and up-to-date insurance information, including primary and secondary insurances, for proper billing. Failure to keep us informed may result in personal financial responsibility for your bill. While we can provide estimates, your insurance company makes the final determination of your eligibility and benefits. You agree to cover any charges not covered by your insurance, including those above the usual and customary allowance. If we are out of network with your insurance, and they pay you directly, please forward the payment to us promptly.
Referrals and Authorizations:
Certain insurances require referrals or prior authorizations from your Primary Care Provider before seeing a specialist. Obtaining these is your responsibility. Failing to secure necessary paperwork may result in self-payment for your visit, with payment due when services are rendered.
Address/Phone Number Changes:
To maintain effective communication, please notify the front desk of any changes to your address, phone number, or other contact information.
Medicare Patients:
Please note that Medicare may not fully cover the cost of all recommended services by your doctor.
Payments:
All co-payments and past-due balances are expected at the time of service. If you cannot provide your co-payment or balance at the time of service, you may be asked to reschedule. We bill your insurance for covered services, and once they have paid, you will receive a statement for any remaining deductible or co-insurance amounts. These balances should be settled in full within 30 days of statement receipt. Failure to do so may result in further collection activities, including involvement with an outside collection agency. If you encounter difficulties paying within the 30-day timeframe, please contact our office to explore alternative options.
Self-Pay:
Self-pay patients are required to make payments for medical evaluation and treatment at the time of service. We will provide a good faith estimate, if requested, of these charges prior to evaluation and management, but please note that the actual required treatment by your physician or PA may generate charges that exceed the estimate provided.
Credit Card on File:
To simplify out-of-pocket expenses, we have implemented a credit card on file system. All patients will be asked to participate, and co-pays, co-insurances, deductibles, and past-due balances are expected to be provided at check-in for your appointment.
After Hours Call:
In the event of after-hours calls, our answering service will contact the physician on call. Please be aware that non-emergent after-hours calls may incur a $50 charge, which is the patient's responsibility.
Additional charges
We kindly wish to inform our valued patients about the various fees associated with our services. These charges have been implemented for specific reasons to maintain the efficiency and quality of care we provide:
- No Show Charge - $50: In the event of a missed appointment without a 24-hour notice, a $50 fee will be applied. This fee serves as a gentle reminder of the importance of timely notification, allowing us to accommodate other patients who may require our care.
- Returned Checks/Insufficient Funds - $25: A $25 fee will be charged in cases of returned checks or insufficient funds. This helps us cover the costs associated with these transactions.
- Completion of Disability and FMLA - $25: To cover administrative expenses related to the completion of disability and FMLA paperwork, a $25 fee may be applied. This ensures we can continue providing this essential service.
- Medical Records Requests - Variable: Patients requesting their medical records may be charged $10 for the first 13 pages and $0.75 for each additional page. These fees help us manage the administrative workload associated with maintaining and providing your medical information.
- Missed Office/Hospital Procedure/Surgery - $75: If a patient does not arrive for an office/hospital procedure or surgery without providing us with one week's notice, a $75 charge may be applied. This fee helps us manage resources efficiently and provide timely medical care to all of our valued patients.
We appreciate your understanding of the necessity of these fees and their role in ensuring the smooth functioning of our medical practice. If you have any questions or concerns regarding these fees, please do not hesitate to contact us. Thank you for entrusting us with your healthcare needs.