Significance StatementVascular Endothelial Growth Factor Receptor 2 (VEGFR-2) is a critical receptor on the surface of endothelial cells (which line the blood vessels). It promotes the formation of new blood vessels in response to its ligand VEGF. Currently we know little about the organization and dynamics of this receptor on the cell surface, with multiple proposed models regarding its activation mechanism by VEGF. To fill this knowledge gap, we conducted a quantitative single-molecule imaging study of endogenous VEGFR-2 in primary endothelial cells, revealing the dynamic nanoscale organization of VEGFR-2 in its native environment. Our study also addresses the interplay between this organization, ligand binding and receptor activation, shedding light on the cell biophysical properties of this developmentally important receptor.