Total chol 215 trig 69 HDL 82 LDL 119 healthy male 65 blood press under control. Take 500mg niacin twice a day. Doctor suggests statins. Suggestions?

Judgement call. Your high HDL is very good. Ldl not bad. What other risk factors do you have? Smoker? Diabetes? Hypertension? Family history? Obesity? Sedentary? Although Niacin does nice things to your lipids, the outcomes studies suggest that statins prevent heart disease better. The risk of side effect from statin is lower than niacin. On balance, i tend to agree with your doctor.
Why niacin. As monotheist when HDL already excellent ...Most men your age have heart disease...Look into a coronary calcium screening to see if focus should be on ldl.