Prestonsburg is a city in Floyd County, Kentucky, home to about 3,765 people across 14 square miles. Its ZIP codes are 41607 and 41653, and parts of 41216, 41602, 41621 and 41649 are in Prestonsburg too.
Homes sold for a median of $112 per square foot in the three months ending August 2026, a balanced market.
Population3,765265 per sq mi
Median home value$161,300Census, as estimated by owners
Price per sq ft$112Sold homes, 3 months to August 2026
Sold over asking0%Latest 3 months
ZIP codes in Prestonsburg
6 ZIP codes, 4 shared with neighboring towns
Blue River, KY41607Not enough recent sales for market figures yet.
Each card is that ZIP code’s whole market, including any part outside Prestonsburg. Seller’s market: under 4 months of supply; buyer’s market: over 6. Methodology
The Prestonsburg guide is on the way
We’re writing up Prestonsburg’s story and what everyday life there is like, for people thinking about moving in.
History
What it’s like to live there
Getting around
Things to do
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Around Prestonsburg
Distances
Nearest major airport
Cincinnati Northern Kentucky International Airport (CVG)141 miles away
Closer regional airport
Tri-State Airport / Milton J. Ferguson Field (HTS)50 miles away
Nearest city of 250,000+
Lexington-Fayette, KY96 miles away
Nearest city of 1 million+
Chicago, IL389 miles away
Straight-line distances from the center of Prestonsburg; driving is longer.
Source: Airports from OurAirports (scheduled passenger service); city centers and populations from the U.S. Census Bureau.
Who represents Prestonsburg
U.S. Representative · Kentucky’s 5th DistrictHarold Rogers (R)
Source: Members of Congress from the congress-legislators project; districts from the Census Bureau’s relationship files; governor and mayor from Wikidata.
Population over time
Prestonsburg had 3,681 residents in the 2020 census, up 2% since 2000.
It’s the 108th largest of 553 towns in Kentucky by population.
Floyd County grew from 15,552 residents in 1900 to 35,942 in 2020.
Floyd County, 1900–2020
Source: U.S. Census Bureau decennial censuses (counties 1900–1990 from the Bureau’s historical county file).
Weather by month
Average highs peak around 86°F in summer, and winter lows average 23°F. About 46.2 inches of rain and melted snow fall in a typical year.
Source: NOAA 1991–2020 climate normals, Paintsville 1e, KY weather station (11 miles away).
Jobs in Floyd County
7,604 jobs at 700 businesses in Floyd County. The biggest industries by employees:
Source: U.S. Census Bureau County Business Patterns 2023 (private employers; jobs counted where people work).
Health care
1,664 doctors and other health care providers list an office in Prestonsburg’s ZIP codes.
Nearest hospitals
Highlands Arh Regional Medical CenterGeneral hospital · emergency room · CMS rating 2 of 5 · Prestonsburg4.8 miles
Arh Our Lady of the WayCritical access hospital · emergency room · Martin5.7 miles
Paintsville Arh HospitalGeneral hospital · emergency room · CMS rating 2 of 5 · Paintsville11.0 miles
Providers with an office here
Primary care doctors
34
Specialist doctors
31
Dentists
12
Nurse practitioners and physician assistants
110
Mental health providers
1,455
Physical and occupational therapists
14
Optometrists
4
Chiropractors
4
Pharmacies
15
Source: Hospitals from CMS Hospital General Information (ratings are CMS overall star ratings); straight-line distances; providers from the CMS National Plan and Provider Enumeration System (NPPES), by practice address and primary specialty.
Places in and around Prestonsburg
Parks (2 nearby)
Jenny Wiley Park · 81 acres1.8 mi
Archer Park · 22 acres1.0 mi
Grocery stores (1 nearby)
Food City1.8 mi
Libraries (1 nearby)
Floyd County Public Library0.7 mi
Theaters and performance venues (1 nearby)
Mountain Arts Center1.5 mi
Counts are within about 2.5 miles of the center of town.
Boyd Holbrook (1981) · American actor and former model
George B. Martin (1876) · Democrat member of the United States Senate (1876-1945)
Source: Wikidata (wikidata.org), the free knowledge base; people are listed by place of birth.
Schools in Prestonsburg
Public schools here are run by Floyd County. Check each district’s attendance zones for a specific address.
Public schools(5)
School
Grades
Students
Type
Distance
Prestonsburg Elementary SchoolPrestonsburg
Pre-K–5
574
Public
3.1 mi
Home Instruction ElementaryPetersburg
K–8
7
Public
0.7 mi
James D. Adams Middle SchoolPrestonsburg
6–8
311
Public
1.4 mi
Home Instruction H.S.Petersburg
9–12
12
Public
0.7 mi
Prestonsburg High SchoolPrestonsburg
9–12
508
Public
1.4 mi
Source: U.S. Department of Education, NCES: Common Core of Data (2024-2025) for public schools. Listed by address; we don’t rate schools.
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Town boundaries don’t always match ZIP codes: a ZIP code can cross into neighboring towns, and a town can share a ZIP code with its neighbors. Facts describe the town itself; market figures describe whole ZIP codes.