The goal of this study was to use data from the National Health Interview Survey to establish prevalence estimates and correlates of cancer screening, including physician recommendation in older racially diverse adults (age ≥75 years). Screening behaviors were examined according to current US Preventive Services Task Force recommendations for breast, cervical, colorectal, and prostate cancer screening. Among adults aged 75 to 79 years, the percentage screened was colorectal (57%), breast (62%), cervical (53%), and prostate cancer (56%). Among the 80 years or older group, rates of screening ranged from a low of 38% for cervical cancer screening to a high of 50% for breast cancer screening. Physician recommendation for a specific test was the largest predictor of screening. More than 50% of men and women 75 years or older reported that their physicians continue to recommend screening. A high percentage of older adults continue to be screened despite ambiguity of recommendations for this group.