The 2023 Parapan American Games medal table is a list of National Paralympic Committees (NPCs) ranked by the number of gold medals won by their athletes during the 2023 Parapan American Games, held in Santiago, Chile from November 17 to November 26, 2023.

In judo, taekwondo and table tennis two bronze medals will be awarded for each event.

The ranking in this table is based on information provided by the Americas Paralympic Committee and Santiago 2023 official website and is consistent with convention in its published medal tables.

If nations are still tied, equal ranking is given and they are listed alphabetically by IPC country code.

Aruba won its first ever Parapan American Games medal, a bronze medal won by Elliott Loonstra in men's 80 kg taekwondo event.