A survey of limber pine ( Pinus flexilis James) to determine the geographic distribution, incidence, and severity of white pine blister rust (WPBR) throughout 13 study areas in central and southeastern Wyoming and northern Colorado was conducted from 2002 to 2004. The majority (81.1%) of the 18 719 surveyed limber pines >1.37 m tall were classified as healthy, 13.5% were declining or dying from various causes, and 5.4% were dead. WPBR was present on 278 (55%) of the 504 survey plots. Incidence of the disease ranged from 0% to 100% and averaged 15.5% over all the plots and 28.0% on the infested plots. Likelihood of infection by WPBR was significantly greater for limber pines in larger diameter classes. Incidence was negatively correlated with elevation and positively correlated with geographic position, with more northerly and easterly plots having higher incidences of WPBR. Incidence varied by slope position and did not vary by aspect, slope configuration, or degree of canopy closure. The current level of infestation in central and southeastern Wyoming and northern Colorado has been attained within the past two to four decades. With time, the pathogen may spread to currently uninfested white pine populations and intensify throughout its current distribution impacting valuable ecosystems.