With the implementation of the Belt and Road Initiative and the national strategy of "Ecological Protection and High-Quality Development in the Yellow River Basin", the tourism development of the Yellow River basin of China is facing important opportunity. However, the spatial differences of tourism economy and the unbalanced development of interprovincial resources has become a threat for the sustainable development of the basin. By using the statistical data from 2003 to 2018, this paper aims to identify the numerical feature and spatial patterns of tourism development in the Yellow River Basin from the aspects of tourist volume (domestic tourists and inbound tourists) and tourism income (income from domestic tourism and inbound tourism) at provincial and prefectural scales. Analysis of spatial autocorrelation reveals significant clusters and outliers of tourist volume and tourism income at prefectural scale. Location condition, terrain condition, culture resources, regional policies, the interregional relationship and tourism infrastructure were the main factors influencing the spatial differences of tourism development in the Yellow River Basin. The study could offer useful information for the regional tourism management in the Yellow River Basin.