Lab Corp serum IGF One Normal range 49 old male is (65-205). tested 211 then 209. Acromegaly?

Probably fine. possibly nothing to worry about as it is very close to the normal, but you should double check with an endocrinologist, particularly if you noticed actual enlargement of any part of your body.
Clinical info? The art of medicine is much more than interpreting lab Values. Lab values you referred to may not significantly be out of range simply because they don't fit in the interval you listed as normal.labs are always taken as supportive evidence not diagnostic evidence of disease process. Clinical information is what is more essential to a diagnosis of acromegaly than numbers.