Could be his total. My LDL runs around 140 without any meds or diet changes and gear. Total can get squirrelly sometimes and HDL/Tri’s, too.
Have you thought about a CT Calcium Score down. You could be good and have no plaque buildup at all.
Or, fast real well for like 24 hours of just water and then go get done again and see if it was a fluke. Medical providers don’t usually jump to a statin these days as protocol after one damn bad cholesterol bloodwork test.