Context Testosterone prescribing rates have increased substantially in the past decade. However, little is known about the context within which such prescriptions occur. Objective We evaluated provider- and site-level determinants of receipt of testosterone and of guideline-concordant testosterone prescribing. Design This study was cross-sectional in design. Setting This study was conducted at the Veterans Health Administration (VA). Participants Study participants were a national cohort of male patients who had received at least one outpatient prescription within the VA during fiscal year (FY) 2008 to FY 2012. A total of 38,648 providers and 130 stations were associated with these patients. Main Outcome Measure This study measured receipt of testosterone and guideline-concordant testosterone prescribing. Results Providers ranging in age from 31 to 60 years, with less experience in the VA [all adjusted odds ratio (AOR)