Not many houses ever need a 200A service. It's likely that a lot of the circuits are lightly loaded. It seems unlikely that he would need a service upgrade. Maybe rearrange the existing circuits or add another panel.
With that in mind lets looks at what circuits are required for a single family dwelling.
You must have at least 2 SABC
You must have at least 1 20 amp circuit supplying laundry outlet(s)
You must have at least 1 20 amp circuit supplying bathroom outlets - if for some reason there is no bathroom maybe you would not need this circuit.
You would then need circuits for any loads supplying certain equipment such as but not limited to electric ranges, electric clothes dryers, electric water heaters, HVAC equipment.
Anything not mentioned above is not required to be on an individual branch circuit and could all be on a single circuit and still be code compliant. There are outlets required that are not in the items above so you need at least 1 circuit for all other items.
So I am at 5 required branch circuits plus ranges dryers, HVAC, etc. being the minimum number of branch circuits required in any dwelling. May not be good design but is code compliant.
I have often found when coming into an old house and they are having trouble blowing a lot of fuses/breakers if you get these 5 areas plus the other dedicated items on separate branch circuits you eliminate most of the circuit overloading problems. If they had a fuse panel and had 30 amp fuses in every possible spot and you put in a new breaker panel you had better separate into these 5+ items at a minimum or they will be calling you back because they will be frequently tripping breakers.