Para-cycling at the 2019 Parapan American Games in Lima, Peru consisted of road and track disciplines. The road competitions were held at the Circuito San Miguel while the track competitions were held at the velodrome.^[1][2]

^[3][4]

  *   Host nation (Peru)

Rank	Nation	Gold	Silver	Bronze	Total
1	United States	7	6	5	18
2	Colombia	7	6	3	16
3	Canada	4	6	3	13
4	Brazil	3	1	4	8
5	Argentina	1	3	5	9
6	Peru*	1	0	0	1
7	Costa Rica	0	1	0	1
8	Dominican Republic	0	0	1	1
Totals (8 entries)		23	23	21	67

Event	Class	Gold	Silver	Bronze
Men's road race	B [1][permanent dead link‍]	Nelson Serna  Colombia (Pilot: Marlon Perez)	Raul Villalbal  Argentina (Pilot: Ezequiel Romero)	Maximiliano  Argentina (Pilot: Sebastian Tolosa)
	C 1–3 [2]	Alejandro Perea  Colombia	Henry Raabe  Costa Rica	Joseph Berenyi  United States
	C 4–5 [3]	Lauro Moro  Brazil	Carlos Vargas Villaneva  Colombia	Jose Rodriguez  Dominican Republic
	H 3–5 [4]	Eduardo Ramos  Brazil	Brandon Lyons  United States	Oscar Biga  Argentina
Women's road race	B [5] Archived 2019-09-01 at the Wayback Machine	Carla Shibley  Canada (Pilot: Megan Lemiski)	Annie Bouchard  Canada (Pilot: Evelyne Gagnon)	Marcia Ribeiro  Brazil (Pilot: Cristiane Pereira)
	C 1–3 [6] Archived 2019-09-01 at the Wayback Machine	Clara Brown  United States	Daniela Munevar  Colombia
	C 4–5 [7]	Mariela Delgado  Argentina	Paula Ossa  Colombia	Samantha Bosco  United States
Mixed road race	T 1–2 [8]	Nestor Ayala  Colombia	Matthew Rodriguez  United States	Michael Shetler  Canada
Men's time trial	C 1–5 [9]	Rimas Hilaro  Peru	Lauro Moro  Brazil	Diego Duenas  Colombia
Women's time trial	C 1–5 [10]	Clara Brown  United States	Daniela Munevar  Colombia	Samantha Bosco  United States
Mixed time trial	B [11]	Nelson Serna  Colombia (Pilot: Marlon Perez)	Lowell Taylor  Canada (Pilot: Andrew Davidson)	Carla Shibley  Canada (Pilot: Megan Lemiski)
	H 1–5 [12]	Matthew Kinnie  Canada	Brandon Lyons  United States	Eduardo Ramos  Brazil
	T 1–2 [13]	Jill Walsh  United States	Matthew Rodriguez  United States	Michael Shetler  Canada

• Women's Road Race H3-5
  [14]
• Mixed Road Race H1-2
  [15]

Event	Class	Gold	Silver	Bronze
1 km time trial	B [16]	Nelson Serna  Colombia (Pilot:Marlon Perez)	Maximiliano Gomez  Argentina (Pilot:Sebastian Tolosa)	Raul Villalbal  Argentina (Pilot:Ezequiel Romero)
	C 1–5 [17] Archived 2019-08-26 at the Wayback Machine	Joseph Berenyi  United States	Christopher Murphy  United States	Edwin Matiz  Colombia
Individual Pursuit	B [18]	Nelson Serna  Colombia (Pilot:Marlon Perez)	Lowell Taylor  Canada (Pilot:Andrew Davidson)	Maximiliano Gomez  Argentina (Pilot:Sebastian Tolosa)
	C 1–3 [19]	Alejandro Perea  Colombia	Joseph Berenyi  United States	Jason Kimball  United States
	C 4–5 [20]	Lauro Moro  Brazil	Diego Duenas  Colombia	Carlos Vargas Villaneva  Colombia

Event	Class	Gold	Silver	Bronze
500m time trial	C 1–5 [21]	Samantha Bosco  United States	Mariela Delgado  Argentina	Clara Brown  United States
1 km time trial	B [22] Archived 2019-08-27 at the Wayback Machine	Annie Bouchard  Canada (Pilot:Evelyne Gagnon)	Carla Shibley  Canada (Pilot:Meghan Lemiski)	Márcia Ribeiro  Brazil (Pilot:Cristiane Pereira)
Individual Pursuit	B [23]	Carla Shibley  Canada (Pilot:Meghan Lemiski)	Annie Bouchard  Canada (Pilot:Evelyne Gagnon)	Márcia Ribeiro  Brazil (Pilot:Cristiane Pereira)
	C 1–3 [24]	Clara Brown  United States	Daniela Munevar  Colombia
	C 4–5 [25]	Samantha Bosco  United States	Marie-Claude Molnar  Canada	Mariela Delgado  Argentina