You would consider incorrectly then.
This person has ~155 pounds of lean body mass. 164 would put him at roughly a body builder level of fat, which basically requires a part time job in cooking and nutrition to maintain.
For reference, I’m in a similar situation to this person. I’m 5’11” (180cm) and about 200 lbs (91kg) with about 170 lbs of lean body mass. My dexa scan says that I’m 15% body fat, but I get the same lectures from doctors about being obese and needing a lifestyle change, all based on BMI and (I assume) my size (I’m barrel chested). It’s completely absurd.
BMI is definitely inaccurate for those with greater amounts of muscle mass, but not as inaccurate as many would like to believe.
The next steps at the doctor is that I show them my MyFitnessPal nutrition tracking, my dexascan, and (at some point) take off my shirt. I ask them what exactly it is I should change. 100% of the time the answer has been something like “Oh, sorry. Please continue as you are doing.”
They just aren’t used to seeing muscular 200 pound dudes at my height in my area at my age (btw, I’m in my 50s).
Also, someone can workout in the gym all they want, but I think most people will struggle with lowering their body fat percentage if they don’t focus on their nutrition.
I realize that my lean body mass (both bones and muscle) are decreasing, and that rate of decrease be higher each year. That said, I’m doing what I can to maintain whatever muscle and bone mass I have.
Ideal body fat percentage is 18-24% - I'm at 25% (or was in November - might be +/- 2% since then - gained a few pounds weight, but not waist size).
So I would say I'm not morbidly obese or even regular obese based on the percentage of my body that is muscle vs fat.
It's really hard to tell with the data provided.
Somehow my body is just amazing at working without any help from me. I don't even exercise much. Maybe a few pushups a day, up and down my stairs at my house a couple dozen times a day, and probably 5-10k steps a day max.