Aim The tropical niche conservatism (TNC) hypothesis is one of the most prominent evolutionary hypotheses that has been supported as an explanation for the diversity gradients of several animal taxa, mainly vertebrates. However, the validity of TNC for less-known taxa such as disease vectors is not clear. Here, we test predictions of TNC in driving the geographical co-occurrence among triatomine species, vector insects of Chagas disease. We aim to infer the relative effects of ecological and evolutionary processes in determining triatomine species richness at broad spatial scales. Location America. Taxon Triatominae (Hemiptera: Reduviidae). Methods We gathered distributional, phylogenetic and climatic information for 63 triatomine species. We apply the phylogenetic field (PF) framework based on the phylogenetic structure of species co-occurrences, considering their climatic preferences. We defined PFs of species by estimating the phylogenetic structure of species co-occurrence within a focal species’ range. Likewise, climatic conditions within focal species’ ranges were defined as their preferred climates. We applied a spatial-phylogenetic statistical framework to evaluate geographical variation of species’ co-occurrence and tested the significance of PFs based on biogeographically informed null models. Results Phylogenetic fields of 17 out of 59 triatomine species showed a trend from overdispersed to clustered, coincident with tropical to subtropical-temperate climate. Triatomines co-occur with more closely related species in temperate areas and more distantly related species in tropical areas. Temperature seasonality was inversely related to the phylogenetic structure of co-occurrence within species ranges. Main conclusions Geographical co-occurrence among triatomine species revealed a tropical to subtropical-temperate gradient from overdispersed to clustered PFs and a correspondence between the type of climate in which these species are found and their PFs. Phylogenetic structure within triatomine ranges is explained by their evolutionary history. Our study provides a methodological framework to evaluate the New World triatomine geographical co-occurrence patterns under a phylogenetic perspective and our results make an important contribution to the understanding of the broad-scale biodiversity patterns in Triatominae.