Exploring NDVI variation and what drives it on the Qinghai–Tibet Plateau can strategically inform environmental protection efforts in light of global climate change. For this analysis, we obtained MODIS NDVI data collected during the vegetative growing season, vegetation types for the region, and meteorological data for the same period from 2001 to 2020. We performed Theil–Sen trend analysis, Mann–Kendall significance testing, spatial autocorrelation analysis, and Hurst index calculation to review the spatiotemporal changes in NDVI characteristics on the plateau for various vegetation types. We used the correlation coefficients from these analyses to investigate how the NDVI responds to temperature and precipitation. We found the following: (1) Overall, the Qinghai–Tibet Plateau NDVI increased throughout the multi-year growing season, with a much larger area of improvement (65.68%) than of degradation (8.83%). (2) The four main vegetation types were all characterized by improvement, with meadows (72.13%) comprising the largest portion of the improved area and shrubs (18.17%) comprising the largest portion of the degraded area. (3) The spatial distribution of the NDVI had a strong positive correlation and clustering effect and was stable overall. The local clustering patterns were primarily low–low and high–high clustering. (4) The Hurst index had an average value of 0.46, indicating that the sustainability of vegetation is poor; that is, the trend of vegetation change in the growing season in a large part of the Qinghai–Tibet Plateau in the future is opposite to that in the past. (5) The plateau NDVI correlated positively with air temperature and precipitation. However, the correlations varied geographically: air temperature had a wide influence, whereas precipitation mainly influenced meadows and grassland in the northern arid zone. The overall temperature-driven effect was stronger than that of precipitation. This finding is consistent with the current research conclusion that global warming and humidification promote vegetation growth in high-altitude areas and further emphasizes the uniqueness of the Qinghai–Tibet Plateau as a climate-change-sensitive area. This study also offers a technical foundation for understanding how climate change impacts high-altitude ecosystems, as well as for formulating ecological protection strategies for the plateau.