Patients confirmed positive COVID-19 with co-morbid Non-Communicable Diseases (NCD) have a high risk of complications and even death specially in elderly. During the COVID-19 pandemic, elderly with NCD were skip their schedule to control the diseases. This study aimed to determine the prevalence of elderly suffering from NCD in urban and rural areas and analysed the different risk factor of NCDs in urban and rural area. Method: This cross-sectional study with a purposive sampling method, were involved members of the elderly integrated health service center for elderly (IHSCoE) in the working area of five community health centers (three health centers in urban areas and two health centers in rural) in Kupang, East Nusa Tenggara. Data were collected for 20 days, in October 2020, after obtaining research ethics approval from the Health Research Ethics Commission of the Medical Faculty of Universitas Nusa Cendana. Data were collected using a digital questionnaire and measurements. The inclusion criteria of the respondents in this study were elderly ≥ 60 years old, were independent elderly, willing to be involved in this study expressed oral consent after being informed. Measurement data were height, weight, total cholesterol, non-fasting blood sugar. Anthropometric measurements made twice then averaged according to the provisions of the WHO. The data collection strict to the health protocol to prevent COVID-19. This study uses analytical statistic to compare the mean of health data of elderly in urban and rural area (p < 0,05). Research Results: The respondents obtained were 121 elderly respondents aged ≥ 60 years (72.7% lived in urban areas, 27.3% in rural areas). Overall, the average age of research respondents was 67 years. Based on the body mass index, the percentage of respondents with overweight and obesity respectively in urban was 20.5%, 25% and rural elderly was 26%, 34%. The percentage of respondents with hypertension was higher than in rural areas but .......