Established in 1991, The Mann Ear, Nose and Throat Clinic is an independent Otolaryngology practice with two private office locations in Cary, North Carolina and Clayton, North Carolina.

Drs. Mann and Spector are Board Certified in the practice of Otolaryngology/Head and Neck Surgery, and provide a wide range of medical and surgical services to remedy conditions affecting the head and neck in adults and children. Physician Assistants Meghan DeMatta and Kelsey Mendez provide additional expert care to our patients, including same day appointments, 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 have been the first practice to offer such techniques as endoscopic sinus surgery, in-office balloon sinus dilation, eustachian tube dilation and sublingual immunotherapy to our community over the years.

We have provided free medical and surgical care to the Triangle area in association with Project Access and Alliance Medical Ministries for several decades.

Ancillary services provided within our facilities include full hearing testing and hearing aid services, comprehensive allergy testing and treatment, as well as in-office CT scanning for disorders of the sinuses and ears.

In association with our outpatient facilities, we also offer the full range of general ENT procedures under general anesthesia, such as tonsillectomy, ear tube placement, removal of head and neck masses, hearing surgery such as ear tube placement (BMT), traditional nasal airway and sinus surgery including balloon sinus dilation, septoplasty, turbinate reduction, Vivaer and Rhinaer. We also commonly prescribe the newest biologic therapies such as Dupixent, Xolair, Fasenra and Nucala, as well as many other treatments and procedures that are commonly treated by specialists in the field of Otolaryngology/Head and Neck Surgery, otherwise known as ENT (Ear, Nose and Throat).

The doctors and staff at Mann ENT look forward to meeting you!

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 After Being Treated at Mann ENT 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.

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 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:

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.

How can Mann ENT help you?

Easily request an appointment from the convenience of your desktop, laptop or mobile device.