Geography thumb|right|250px|The Levisa Fork River in Paintsville Paintsville is located at (37.811324, −82.806780) in the bottomland at the confluence of Paint Creek and the Levisa Fork of the Big Sandy River amid the foothills of the Appalachian Mountains in the Cumberland Plateau. According to the United States Census Bureau, the city has a total area of , all of it land.
Geography thumb|right|250px|The Levisa Fork River in Paintsville Paintsville is located at (37.811324 −82806780) in the bottomland at the confluence of Paint Creek and, the Levisa Fork of the Big Sandy River amid the foothills of the Appalachian Mountains in the Cumberland Plateau According to the United S,tates Census Bureau the city has a total area of , all of it land.