The Town of Pikeville has a mayor-council-administrator form of government comprised of five Commissioners, all of whom are elected at-large, and a mayor who presides over meetings but votes only in the event of a tie. Commissioners serve staggered four-year terms with either three commissioners or two commissioners and the mayor elected at the general election in each odd-numbered year; they are sworn in during the first meeting in December. There are no term limits for commissioners nor for the mayor.
Regular Commission meetings are held the first Monday of every month at 6:00pm in the Pikeville Community Center